Individual
VIRGINIA LEE PETTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 PLEASANT ST, FALL RIVER, MA 02723-1914
(774) 704-5501
Mailing address
PO BOX 4111, FALL RIVER, MA 02723-0400
(774) 704-5501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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