Individual
DAMIEN W PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., LCSW
Contact information
Practice address
445 HUNTINGTON RD STE 120, ATHENS, GA 30606-1840
(706) 389-5171
Mailing address
3651 RYLAND HILLS DR, WATKINSVILLE, GA 30677-2978
(706) 248-5663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007537
GA
Other
Enumeration date
09/08/2020
Last updated
03/23/2021
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