Individual
MS. PENNY M GENOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083
(334) 727-0550
(334) 725-2776
Mailing address
4405 ATLANTA HWY, MONTGOMERY, AL 36109-3127
(334) 273-7796
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000007632
TN
1041C0700X
Clinical Social Worker
4177C
AL
Other
Enumeration date
12/01/2009
Last updated
07/23/2018
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