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Individual

MRS. DEBORAH L. PETTITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.C.,L.P.T.,R.P.T.S

Contact information

Practice address
3603 N 7TH AVE, PHOENIX, AZ 85013-3638
(602) 234-1935
(602) 234-0022
Mailing address
14244 N 50TH ST, SCOTTSDALE, AZ 85254-2868

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-2089
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
649072
AZ
Enumeration date
12/20/2006
Last updated
07/09/2007
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