Dr STACY L PETTITT is a female medical professional, specializing in Clinical Social Worker. She graduated in 2002.
PALOUSE RIVER COUNSELING CENTER
340 NE MAPLE ST
PALOUSE ROVER COUNSELING
PULLMAN
WA
991634120
Tel: 5093341133
Npi | 1104150705 |
Pac Id | 9234470451 |
Professional Enrollment Id | I20190416000910 |
Last Name | PETTITT |
First Name | STACY |
Middle Name | L |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2002 |
Primary Specialty | CLINICAL SOCIAL WORKER |
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Organization Legal Name | PALOUSE RIVER COUNSELING CENTER |
Group Practice Pac Id | 5698768331 |
Number Of Group Practice Members | 10 |
Line 1 Street Address | 340 NE MAPLE ST |
Line 2 Street Address | PALOUSE ROVER COUNSELING |
Marker Of Address Line 2 Suppression | |
City | PULLMAN |
State | WA |
Zip Code | 991634120 |
Phone Number | 5093341133 |
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Professional Accepts Medicare Assignment | Y |
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