Individual
MRS. DANIELLE MARIE PETTIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
340 MAIN ST, SUITE 383, WORESTER, MA 01608
(508) 791-4976
(508) 791-6723
Mailing address
53 H FOOTE RD, 2ND FLOOR, CHARLTON, MA 01507
(508) 434-0041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
12/18/2007
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