DAVID PATRICK PENK

LAWRENCEVILLE, IL
NPI1982055687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-06-24
Last Update Date2016-06-24
Business Address
-- DAVID PATRICK PENK MS, QMHP
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Phone number: 618-943-3754
Mailing Address
-- DAVID PATRICK PENK MS, QMHP
P O BOX 516 11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Phone number: 618-943-3754
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