MARIAN ROSE PENA

CLEARLAKE, CA
NPI1053441519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS16704)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
-- MARIAN ROSE PENA LCSW
15230 LAKESHORE DR
CLEARLAKE, CA 95422-8107
Phone number: 707-995-4500
Mailing Address
-- MARIAN ROSE PENA LCSW
11049 WHEELER DR
KELSEYVILLE, CA 95451-9752
Phone number: 707-277-0346
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