Suzanne Marie Pennington

NPI #1225108384 in Antigo, Wisconsin

Provider Information

NPI Number: 1225108384
Entity Type: Individual
Name: Suzanne Marie Pennington
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1225 LANGLADE RD
City: Antigo
State: Wisconsin
ZIP Code: 54409-2762
Phone: (715) 627-6694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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