Name | WILBUR HARRIS PENNY |
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Address | SOUTH SETAUKETNY |
Profession | LICENSED CLINICAL SOCIAL WORK |
License No | 027333 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron12/31/81) |
Additional Qualification | R -Psychotherapy Privilege |
Status | REGISTERED |
Registered through last day of |