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1215787338
KATHLEEN JO PENN
WHITE BEAR LAKE, MN
NPI
1215787338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN cc04005)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
Ms. KATHLEEN JO PENN LPCC
4710 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110-3485
Phone number: 651-443-9290
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Mailing Address
Ms. KATHLEEN JO PENN LPCC
5625 138TH ST N
HUGO, MN 55038-8200
Phone number: 651-387-6244
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