Individual
PENNY J ENGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2813 NE KENDALLWOOD PKWY APT 3, GLADSTONE, MO 64119-2030
(816) 507-0048
Mailing address
2813 NE KENDALLWOOD PKWY APT 3, GLADSTONE, MO 64119-2030
(816) 507-0048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015040580
MO
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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