Individual
CAROLINE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2966 TABERNACLE RD, COLUMBUS, MS 39702-9622
(662) 352-6562
Mailing address
2966 TABERNACLE RD, COLUMBUS, MS 39702-9622
(662) 352-6562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10609
MS
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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