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Individual

HEATHER PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
200 SEMINOLE TRL, GEORGETOWN, KY 40324-1115
(859) 213-9646
Mailing address
PO BOX 7159, LOUISVILLE, KY 40257-0159
(855) 591-0092

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
254933
KY

Other

Enumeration date
01/17/2024
Last updated
01/17/2024
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