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Individual
MRS. DEBORAH L. PETTITT
Active
Individual
MRS. DEBORAH L. PETTITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.,L.P.T.,R.P.T.S
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-2089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649072
—
AZ
Enumeration date
12/20/2006
Last updated
07/09/2007
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