Individual
PENNY JEAN KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
4055 NORTH CAMERON DRIVE, ELOY, AZ 85131-1040
(520) 466-8850
(520) 466-8851
Mailing address
PO BOX 2779, ARIZONA CITY, AZ 85123-1040
(520) 466-8850
(520) 466-8851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LISAC-10645
AZ
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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