Individual
MS. VERLILIA ANN PETTIGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
2144 TANEY PL, GARY, IN 46404
(219) 977-8317
Mailing address
2144 TANEY PL, GARY, IN 46404-2932
(219) 977-8317
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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