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1073659504
KIMBERLY ANN PENNOCK
WATERLOO, IL
NPI
1073659504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149006300)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- KIMBERLY ANN PENNOCK LCSW
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1000
Phone number: 618-939-4444
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Mailing Address
-- KIMBERLY ANN PENNOCK LCSW
101 LUCYS LNDG
WATERLOO, IL 62298-5510
Phone number: 618-939-2917
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