Individual
MRS. LAURA PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4010 DUPONT CIR STE 228, LOUISVILLE, KY 40207-4825
(502) 802-8691
(502) 384-0478
Mailing address
4010 DUPONT CIR STE 228, LOUISVILLE, KY 40207-4825
(502) 802-8691
(502) 384-0478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3948
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100438560
—
KY
Enumeration date
12/08/2015
Last updated
12/19/2020
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