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1285034769
DOUGLAS PETTIFORD
WILMINGTON, DE
NPI
1285034769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DE 1341)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
Mr. DOUGLAS PETTIFORD
500 W 10TH ST
WILMINGTON, DE 19801-1422
Phone number: 302-984-3380
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Mailing Address
Mr. DOUGLAS PETTIFORD
500 W 10TH ST
WILMINGTON, DE 19801-1422
Phone number: 302-984-3380
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