Individual
AMY PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33435-5908
(561) 736-6501
Mailing address
115 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33435-5908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669691291
PRIVATE
FL
Enumeration date
07/15/2014
Last updated
07/15/2019
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