Individual
MS. ISABELA KAE PETITGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
149 LE MANS HALL, NOTRE DAME, IN 46556
(312) 206-3706
Mailing address
149 LE MANS HALL, NOTRE DAME, IN 46556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/08/2025
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