Individual
MR. DAVID R PETTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
714 POWNAL LN, HAMPTON, GA 30228-6185
(678) 481-8883
Mailing address
714 POWNAL LN, HAMPTON, GA 30228-6185
(678) 481-8883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009570
GA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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