Individual
KIERSTEN MARIE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2055 E ALLEGHENY AVE FL 3, PHILADELPHIA, PA 19134-3832
(215) 427-5800
Mailing address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019659
PA
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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