Marian Rose Pena, LCSW
NPI #1053441519 in Clearlake, California
Provider Information
- NPI Number
- 1053441519
- Entity Type
- Individual
- Name
- Marian Rose Pena, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15230 LAKESHORE DR
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-8107
- Phone
- (707) 995-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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