Individual
MRS. ALICIA ROSE PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
10632 LITTLE PATUXENT PKWY STE 327, COLUMBIA, MD 21044-6283
(443) 864-5647
(443) 276-0905
Mailing address
10632 LITTLE PATUXENT PKWY STE 327, COLUMBIA, MD 21044-6283
(443) 864-5647
(443) 276-0905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15018
MD
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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