Individual
JACQUE PENFOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 N. CLEVELAND AVENUE, LOVELAND, CO 80538
(970) 690-8429
(970) 669-5987
Mailing address
6021 PUMA DRIVE, LOVELAND, CO 80538
(970) 690-8429
(970) 669-5987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992895
CO
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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