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Individual
META LASHON PETTY
Active
Individual
META LASHON PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW15280
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/24/2018
Last updated
11/20/2019
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