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1104036821
MICHAEL H PETTIS
TUPELO, MS
NPI
1104036821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7971)
Enumeration Date
2007-05-23
Last Update Date
2015-05-04
Business Address
Mr. MICHAEL H PETTIS LCSW
499 GLOSTER CREEK VLG SUITE D-1
TUPELO, MS 38801-4600
Phone number: 662-842-4651
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Mailing Address
Mr. MICHAEL H PETTIS LCSW
499 GLOSTER CREEK VLG SUITE D-1
TUPELO, MS 38801-4600
Phone number: 662-842-4651
Copy
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