MR. MICHAEL PETTIS, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1104036821
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | C7971 (MS) |
Frequently Asked Questions
NPI 1104036821 is the National Provider Identifier for MR. MICHAEL PETTIS, LCSW, a Social Worker - Clinical provider located in Tupelo, MS. This NPI was enumerated on May 23, 2007.
MR. MICHAEL PETTIS, LCSW practices at 499 GLOSTER CREEK VLG, SUITE D-1, Tupelo, MS 38801.
Quick Facts
- NPI
- 1104036821
- Type
- Individual
- Enumerated
- May 23, 2007
- Last Updated
- May 4, 2015
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