Individual
PENNY LOUISE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7416 E VISTA DR, SCOTTSDALE, AZ 85250-7143
(602) 361-2469
Mailing address
7416 E VISTA DR, SCOTTSDALE, AZ 85250-7143
(602) 361-2469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-10120
AZ
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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