Individual
CHRISTINA PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1101 JACKSON ST STE C, GREENVILLE, OH 45331-1396
(937) 547-2319
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-3806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1303319
OH
1041C0700X
Clinical Social Worker
Primary
I.2405473
OH
Other
Enumeration date
06/09/2016
Last updated
07/03/2024
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