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Individual

PENNY DEON AMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
5604 E WHITE OAK LN, MARENGO, IN 47140-8413
(812) 365-3221
(812) 365-9502
Mailing address
PO BOX 270, PAOLI, IN 47454-0270
(812) 723-3944
(812) 723-7989

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011540A
IN

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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