KIMBERLY ANN PENNOCK

WATERLOO, IL
NPI1073659504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149006300)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- KIMBERLY ANN PENNOCK LCSW
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1000
Phone number: 618-939-4444
Mailing Address
-- KIMBERLY ANN PENNOCK LCSW
101 LUCYS LNDG
WATERLOO, IL 62298-5510
Phone number: 618-939-2917
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