DOUGLAS PETTIFORD

WILMINGTON, DE
NPI1285034769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DE  1341)
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
Mr. DOUGLAS PETTIFORD
500 W 10TH ST
WILMINGTON, DE 19801-1422
Phone number: 302-984-3380
Mailing Address
Mr. DOUGLAS PETTIFORD
500 W 10TH ST
WILMINGTON, DE 19801-1422
Phone number: 302-984-3380