Individual
KELSEY PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NOAHS LANE, JEFFERSONVILLE, IN 47130
(812) 284-1760
(812) 282-8636
Mailing address
101 NOAHS LANE, JEFFERSONVILLE, IN 47130
(812) 284-1760
(812) 282-8636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
12/18/2018
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