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Individual
CHELSEA RENE PETTIBONE
Active
Individual
CHELSEA RENE PETTIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
144.0115359
VT
235Z00000X
Speech-Language Pathologist
Primary
1481
NH
235Z00000X
Speech-Language Pathologist
22006947A
IN
235Z00000X
Speech-Language Pathologist
SLP10659
AZ
235Z00000X
Speech-Language Pathologist
SP2394
ME
Other
Enumeration date
07/23/2012
Last updated
09/30/2019
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