Individual
DAVID PENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
310 E BYRD AVE, BONIFAY, FL 32425-3068
(850) 547-5114
(850) 547-1709
Mailing address
PO BOX 772, DEFUNIAK SPRINGS, FL 32435-0772
(850) 687-0569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23792
FL
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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