Individual
MR. TYRUS C PETTY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
5847 SW 29TH ST, TOPEKA, KS 66614-2462
(785) 273-7292
(785) 273-1201
Mailing address
5847 SW 29TH ST, TOPEKA, KS 66614-2462
(785) 273-7292
(785) 273-1201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1534
KS
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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