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1154049849
CHARLES PENIX
PHOENIX, AZ
NPI
1154049849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
CHARLES PENIX
6318 W MIAMI ST
PHOENIX, AZ 85043-1935
Phone number: 925-470-9032
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Mailing Address
CHARLES PENIX
4810 W BLOOMFIELD RD
GLENDALE, AZ 85304-2222
Phone number: 925-470-9032
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