Individual
MS. PENNY ANN WICKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
210 S WINCHESTER AVE, MILES CITY, MT 59301-4757
(406) 874-5600
Mailing address
210 S WINCHESTER AVE, MILES CITY, MT 59301-4757
(406) 874-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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