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Individual

BETTY PETKOFF HIGHTOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7449
Mailing address
1513 LINDEN AVE, MEMPHIS, TN 38104-3808
(901) 725-5331

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1117
TN

Other

Enumeration date
09/08/2006
Last updated
07/08/2007
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