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Individual

MS. PENNIE J CARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
67566
TX
2084P0800X
Psychiatry Physician
Primary
2155
MN

Other

Enumeration date
03/15/2011
Last updated
07/31/2018
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