Individual
ANNE L. PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
735 BUCHANAN ST, #204, BENICIA, CA 94510-2959
(707) 746-7477
Mailing address
735 BUCHANAN ST, #204, BENICIA, CA 94510-2959
(707) 746-7477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 3821
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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