Individual
MRS. LOUANN PETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1003 EDGEWOOD DR, CHARLESTON, WV 25302-3005
(304) 344-4637
Mailing address
1003 EDGEWOOD DRIVE, CHARLESTON, WV 25302-3005
(304) 344-4637
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
985
WV
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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