Individual
MIA PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CCDP-D, CAADC
Contact information
Practice address
600 N BROAD ST STE 5NO715, MIDDLETOWN, DE 19709-1032
(302) 526-0946
Mailing address
2841 S STATE ST, CAMDEN, DE 19934-1978
(302) 698-8410
(302) 698-8419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001164
DE
Other
Enumeration date
11/15/2012
Last updated
08/11/2022
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