Individual
MS. BETH PETTYJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
32630 CEDAR DR UNIT A, MILLVILLE, DE 19967-6946
(302) 500-2626
(888) 216-2869
Mailing address
29L ATLANTIC AVE # 173, MILLVILLE, DE 19970-9115
(302) 500-2626
(888) 216-2869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009524
VA
1041C0700X
Clinical Social Worker
LC50079164
DC
1041C0700X
Clinical Social Worker
Primary
Q1-0001763
DE
Other
Enumeration date
09/01/2011
Last updated
06/02/2021
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