Individual
PENNY SAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1084 25TH ST, DES MOINES, IA 50311-4255
(515) 975-3845
Mailing address
1084 25TH ST, DES MOINES, IA 50311-4255
(515) 975-3845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008058
IA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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