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Individual

JANICE PENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 699-2165
Mailing address
108 LOU JON CIR, SAN ANTONIO, TX 78213-3338
(210) 348-0001

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19491
TX

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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