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1922267079
KYLE JAMISON PENNIMAN
PHOENIX, AZ
NPI
1922267079
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Former Name
COURTNEY PENNIMAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-04
Last Update Date
2012-07-27
Business Address
Mr. KYLE JAMISON PENNIMAN MSW, LISAC, CADAC
4020 N 20TH ST STE 302
PHOENIX, AZ 85016-6032
Phone number: 602-535-6468
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Mailing Address
Mr. KYLE JAMISON PENNIMAN MSW, LISAC, CADAC
4020 N 20TH ST STE 302
PHOENIX, AZ 85016-6032
Phone number: 602-535-6468
Copy
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