Individual
JEANETTE N PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
11122 FOWLER RD, ATASCOSA, TX 78002-5722
(210) 548-8863
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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