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1205208857
CARL PETTWAY
DETROIT, MI
NPI
1205208857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801096188)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- CARL PETTWAY LLMSW
5470 CHENE ST
DETROIT, MI 48211-2746
Phone number: 313-967-5320
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Mailing Address
-- CARL PETTWAY LLMSW
5470 CHENE ST
DETROIT, MI 48211-2746
Phone number: 313-967-5320
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