Organization
KATHRYN PETTERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN ANN PETTERSON PHD (PRESIDENT)
(404) 606-3247
Entity
Organization
Contact information
Practice address
295 S CULVER ST STE D, LAWRENCEVILLE, GA 30046-3239
(770) 995-5555
(770) 497-0130
Mailing address
295 S CULVER ST STE D, LAWRENCEVILLE, GA 30046-3239
(770) 995-5555
(770) 497-0130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC2113
GA
Other
Enumeration date
01/02/2007
Last updated
05/22/2020
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