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Individual

MS. GRACE A. PENMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1227 MAPLE ST, BLOOMSBURG, PA 17815-9432
(570) 594-9615
(570) 784-9240
Mailing address
1227 MAPLE ST, BLOOMSBURG, PA 17815-9432
(570) 594-9615
(570) 784-9240

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013803
PA

Other

Enumeration date
05/20/2007
Last updated
07/09/2007
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