MRS. Jackie Marie Penland, LCSW
NPI #1982793113 in Independence, Missouri
Provider Information
- NPI Number
- 1982793113
- Entity Type
- Individual
- Name
- MRS. Jackie Marie Penland, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2513 S EVANSTON AVE
- City
- Independence
- State
- Missouri
- ZIP Code
- 64052-1564
- Phone
- (816) 836-8499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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