Individual
JASMINE R PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1601 MAIN ST STE 211, RICHMOND, TX 77469-3230
(832) 847-4836
(832) 847-4852
Mailing address
1601 MAIN ST STE 211, RICHMOND, TX 77469-3230
(832) 847-4836
(832) 847-4852
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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