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Individual

BRIAN PENROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
2933 EL NIDO DR, ALTADENA, CA 91001-4529
(626) 395-7100
Mailing address
2933 EL NIDO DR, ALTADENA, CA 91001-4529
(626) 395-7100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/01/2011
Last updated
05/13/2014
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