Individual
JENNIFER PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 E CRANDALL AVE, SUITE B, HARRISON, AR 72601-3629
(870) 741-8484
(870) 741-4088
Mailing address
107 E CRANDALL AVE, SUITE B, HARRISON, AR 72601-3629
(870) 741-8484
(870) 741-4088
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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