Individual
MCCANDLESS PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2456 LAFAYETTE RD, PORTSMOUTH, NH 03801-5624
(415) 322-8812
Mailing address
2456 LAFAYETTE RD, PORTSMOUTH, NH 03801-5624
(415) 322-8812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
90144
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/10/2014
Last updated
09/11/2025
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