Individual
BRANDON PETTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 DICKSON ST STE 2, WELLINGTON, OH 44090-1300
(440) 828-0012
Mailing address
29454 HAWLEY RD, SULLIVAN, OH 44880-9602
(440) 731-9030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103628
OH
Other
Enumeration date
08/13/2020
Last updated
05/07/2025
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