Katherine Rae Penninga
Katherine Rae Penninga is a Social Worker in San Diego, California. Licensed in California and Michigan. Registered with an NPI since 2012.
- Licensed in
- CA, MI
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1601 Precision Park LnSan Diego, CA 92173-1345
Phone: (619) 662-4100
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 90390 (CA) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 6801093772 (MI) |
Record details
| NPI number | 1649546979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 30, 2012 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | July 1, 2024 |
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