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Individual

FAITH PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
439 ALLENBY DR, MARYSVILLE, OH 43040-9355
(716) 572-8910
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188216
OH

Other

Enumeration date
04/05/2022
Last updated
09/06/2024
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