Individual
MR. MICHAEL H PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
499 GLOSTER CREEK VLG, SUITE D-1, TUPELO, MS 38801-4600
(662) 842-4651
(662) 842-7335
Mailing address
499 GLOSTER CREEK VLG, SUITE D-1, TUPELO, MS 38801-4600
(662) 842-4651
(662) 842-7335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7971
MS
Other
Enumeration date
05/23/2007
Last updated
05/04/2015
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