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1518081462
DAVID R PENNER
MOUNTLAKE TERRACE, WA
NPI
1518081462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY00000896)
Enumeration Date
2007-03-18
Last Update Date
2013-08-02
Business Address
-- DAVID R PENNER Ph.D.
21907 64TH AVE W SUITE 220
MOUNTLAKE TERRACE, WA 98043-6200
Phone number: 425-640-9777
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Mailing Address
-- DAVID R PENNER Ph.D.
PO BOX 60014
SEATTLE, WA 98160-0014
Phone number: 425-640-9777
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