Individual
DANA JO PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 W 3RD ST, IMBODEN, AR 72434-9099
(870) 869-1500
(870) 869-1505
Mailing address
609 W 3RD ST, IMBODEN, AR 72434-9099
(870) 869-1500
(870) 869-1505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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