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Organization
KARA PETTINGER, L.L.C.
Active
Organization
KARA PETTINGER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA M PETTINGER LMSW (OWNER/THERAPIST)
(517) 983-3384
Entity
Organization
Contact information
Practice address
630 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546-8626
(517) 983-3384
Mailing address
5741 DORADO CT NE, ROCKFORD, MI 49341-8335
(517) 983-3384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689086654
NPI
MI
Enumeration date
12/02/2022
Last updated
12/02/2022
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