Individual
PENNY LYNNE SPEAKERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31772 CASINO DR STE A, LAKE ELSINORE, CA 92530-4502
(951) 459-7240
Mailing address
31772 CASINO DR, LAKE ELSINORE, CA 92530-4502
(951) 459-7240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
12/06/2023
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