Individual
ELIANETTE PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
141 NORWOOD DR, SAN ANGELO, TX 76903-9125
(510) 209-1842
Mailing address
141 NORWOOD DR, SAN ANGELO, TX 76903-9125
(510) 209-1842
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109378
TX
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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