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Individual

MS. SHARDE BRYAUN PETTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
2825 BURNET AVE FL 4, CINCINNATI, OH 45219-2426
(513) 558-5857
Mailing address
2825 BURNET AVE FL 4, CINCINNATI, OH 45219-2426
(513) 558-5857

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
07/01/2018
Last updated
04/29/2020
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