Kathy Penner, Lcsw, Pllc

NPI #1851036321 in Camillus, New York

Provider Information

NPI Number
1851036321
Entity Type
Organization
Organization Name
Kathy Penner, Lcsw, Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 29, 2022
Last Updated
Apr 29, 2022

Practice Location

Address
5413 WEST GENESEE STREET
Address 2
SUITE 101
ZIP Code
13031
Phone
(315) 870-8295

Authorized Official

Name
KATHY PENNER, LCSW-R
Title
MEMBER/OWNER
Phone
(315) 870-8295

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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