Individual
STACY CHRISTIAN PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
413 S WAGNER AVE, SIDNEY, OH 45365-2562
(937) 726-3900
Mailing address
413 S WAGNER AVE, SIDNEY, OH 45365-2562
(937) 726-3900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0900388
OH
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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