Individual
MARY PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3825 39TH AVE STE 120, KENOSHA, WI 53144-2043
(262) 946-5752
(262) 946-5765
Mailing address
3825 39TH AVE STE 120, KENOSHA, WI 53144-2043
(262) 946-5752
(262) 946-5765
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
153251-30
WI
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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