Individual
MARIA PENNYWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 HIGHWAY 2, STERLINGTON, LA 71280-3004
(331) 859-8504
Mailing address
506 HIGHWAY 2, STERLINGTON, LA 71280-3004
(331) 859-8504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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