IRVIN ROY PENNER

WICHITA, KS
NPI1568559391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: KS  0159)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
MR. IRVIN ROY PENNER LSCSW MSW
5120 E CENTRAL A
WICHITA, KS 67208
Phone number: 316-681-3840
Mailing Address
MR. IRVIN ROY PENNER LSCSW MSW
11521 WILSHIRE TERRACE
WICHITA, KS 67207-4337
Phone number: 316-681-3840