Individual
KIMBERLY AVANNGELINE PENNYBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
18978 FRONT ST NE # B, POULSBO, WA 98370-7353
(253) 372-2412
Mailing address
20283 1ST AVE NE, A-5, POULSBO, WA 98370-9047
(253) 372-2412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60682845
WA
Other
Enumeration date
02/10/2017
Last updated
02/05/2024
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