Individual
MR. RANDALL BERWIN PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6700 N ORACLE RD STE 505, TUCSON, AZ 85704-7736
(520) 791-9974
(520) 791-0676
Mailing address
6700 N ORACLE RD STE 505, TUCSON, AZ 85704-7736
(520) 791-9974
(520) 791-0676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-13458
AZ
1041C0700X
Clinical Social Worker
071208
NY
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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