MS. TAMARA PETTINGILL, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1629081864
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1629081864 is the National Provider Identifier for MS. TAMARA PETTINGILL, LCSW, a Social Worker - Clinical provider located in Idaho Falls, ID. This NPI was enumerated on August 15, 2006.
MS. TAMARA PETTINGILL, LCSW practices at 1302 E 17TH ST, Idaho Falls, ID 83404.
Quick Facts
- NPI
- 1629081864
- Type
- Individual
- Enumerated
- Aug 15, 2006
- Last Updated
- Apr 21, 2025
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