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1275136947
BARBARA JUNE PETTIBONE
RACINE, WI
NPI
1275136947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CO 00001879)
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
BARBARA JUNE PETTIBONE
2800 LASALLE ST
RACINE, WI 53402-4140
Phone number: 262-221-2057
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Mailing Address
BARBARA JUNE PETTIBONE
2800 LASALLE ST
RACINE, WI 53402-4140
Phone number: 262-221-2057
Copy
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