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1568559391
IRVIN ROY PENNER
WICHITA, KS
NPI
1568559391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 0159)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Mr. IRVIN ROY PENNER LSCSW MSW
5120 E CENTRAL A
WICHITA, KS 67208
Phone number: 316-681-3840
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Mailing Address
Mr. IRVIN ROY PENNER LSCSW MSW
11521 WILSHIRE TERRACE
WICHITA, KS 67207-4337
Phone number: 316-681-3840
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