Individual
PAMELA PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2964 PEACHTREE RD NW STE 760, ATLANTA, GA 30305-2220
(404) 358-1704
Mailing address
4683 FITZPATRICK WAY, PEACHTREE CORNERS, GA 30092-1011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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