Individual
DEBBIE WARE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
108 11TH AVE W, POB 1375, GRAND MARAIS, MN 55604-3243
(405) 650-1668
Mailing address
PO BOX 1375, 108 11TH AVE WEST, GRAND MARAIS, MN 55604-1375
(405) 650-1668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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