Kimberly Ann Pennock, LCSW

NPI #1073659504 in Waterloo, Illinois

Provider Information

NPI Number
1073659504
Entity Type
Individual
Name
Kimberly Ann Pennock, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
988 N ILLINOIS ROUTE 3
ZIP Code
62298-1000
Phone
(618) 939-4444

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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