Individual
MS. JANE ELIZABETH PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3000 CONNECTICUT AVENUE NW, SUITE 304, WASHINGTON, DC 20008-2509
(202) 234-8101
Mailing address
4916 47TH ST NW, WASHINGTON, DC 20016-4006
(202) 237-9066
(202) 237-7068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111621
MA
1041C0700X
Clinical Social Worker
Primary
LC303178
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6972
BLUECROSS BLUESHIELD
DC
Enumeration date
01/08/2007
Last updated
07/08/2007
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