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Individual

MS. ISIS JAIJADEA PETTWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4224 SHUFFIELD DR, LITTLE ROCK, AR 72205-7211
(501) 526-8200
(501) 526-5296
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 666-8000
(501) 526-5148

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2304012
AR

Other

Enumeration date
01/09/2018
Last updated
03/06/2024
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