Individual
DANIEL PENN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3968 NORTH BLVD STE B, BATON ROUGE, LA 70806-3826
(225) 397-4414
(225) 478-9534
Mailing address
3968 NORTH BLVD STE B, BATON ROUGE, LA 70806-3826
(225) 397-4414
(225) 478-9534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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