Search › Michigan › 1041C0700X
Shaly Penrod, LMSW
NPI 1568196251 · on the registry since 2022
Practice
- Address
- 650 Trade Centre Way Ste 140
Portage, MI 49002 - Phone
- (269) 492-6636
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan