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MR. ANDREW MICHAEL PENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLPC

Contact information

Practice address
14 E 18TH ST, STE. 104, HIGGINSVILLE, MO 64037-1358
(660) 584-5560
(660) 584-5562
Mailing address
14 E 18TH ST, STE. 104, HIGGINSVILLE, MO 64037-1358
(660) 584-5560
(660) 584-5562

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010023789
MO

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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