Individual
PENNY ALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7719
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30277500
—
WI
Enumeration date
09/04/2014
Last updated
09/04/2014
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