Individual
AMBER DAWN REICHELLE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MAADC II
Contact information
Practice address
5615 W 32ND ST, JOPLIN, MO 64804-8161
(417) 262-6175
Mailing address
927 K ST NW, MIAMI, OK 74354-4243
(918) 814-8510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
04/01/2024
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