Individual
CARLA BETH PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WEST EVERGREEN STREET, DURANT, OK 74701
(580) 931-9901
Mailing address
156 MICHAEL AVENUE, CALERA, OK 74730
(580) 579-3336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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