Individual
MRS. MARLENE FRANCES PETTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSSA ACSW LMSW
Contact information
Practice address
380 CROWN MILL DR, MARTINEZ, GA 30907-9436
(706) 364-7954
(706) 364-7954
Mailing address
380 CROWN MILL DR, MARTINEZ, GA 30907-9436
(706) 364-7954
(706) 364-7954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L760944
MI
1041C0700X
Clinical Social Worker
Primary
L760944
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152167
CIGNA
—
Enumeration date
02/17/2006
Last updated
09/11/2025
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