Individual
ACQUANITA PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Contact information
Practice address
1961 BROOKSTONE WAY APT 304, ROCK HILL, SC 29732-2688
(561) 503-8230
Mailing address
1961 BROOKSTONE WAY APT 304, ROCK HILL, SC 29732-2688
(561) 503-8230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
16505
SC
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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