Individual
ROBERT PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 W 38TH ST, ERIE, PA 16508-2462
(814) 835-1700
(814) 835-1701
Mailing address
1324 W 38TH ST, ERIE, PA 16508-2462
(814) 835-1700
(814) 835-1701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-03117-L
PA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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