# MS. BARBARA ANNE PETTWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548611528
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | MI | Yes |
| 252Y00000X | Early Intervention Provider Agency | — | MI | — |

## Other

- **Enumeration date:** 06/30/2016
- **Last updated:** 06/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38-15555827 | — | MI |