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Individual

MACY PENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1707 LINWOOD DR STE B, PARAGOULD, AR 72450-5365
(870) 604-4455
(888) 977-2956
Mailing address
1707 LINWOOD DR STE B, PARAGOULD, AR 72450-5365
(870) 604-4455
(888) 977-2956

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22430-M
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277064795
AR
Enumeration date
12/29/2021
Last updated
01/02/2026
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