Individual
JOY PETWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 APOLLO DR, STE 400, LARGO, MD 20774-4791
(301) 772-0105
(301) 772-0103
Mailing address
5202 56TH AVE, HYATTSVILLE, MD 20781-2903
(757) 719-1926
(301) 779-1789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17236
MD
1041C0700X
Clinical Social Worker
LC50079818
DC
Other
Enumeration date
04/24/2015
Last updated
12/16/2020
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