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Individual

MRS. GRETCHEN MARIE PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
248 SENECA ST STE 304, OIL CITY, PA 16301-1351
(814) 678-8627
Mailing address
228 REED ST, FALLS CREEK, PA 15840-9734
(814) 592-7578

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002807
PA

Other

Enumeration date
11/06/2019
Last updated
11/06/2019
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