Individual
THANIA PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12133 W BELL RD STE 201, SURPRISE, AZ 85378-9408
(623) 229-5825
Mailing address
12133 W BELL RD STE 201, SURPRISE, AZ 85378-9408
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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