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1407985740
ALAN JOSEPH PETTIPAS
CLARKSVILLE, TN
NPI
1407985740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-04
Last Update Date
2007-07-08
Business Address
Mr. ALAN JOSEPH PETTIPAS BA
511 8TH ST
CLARKSVILLE, TN 37040-3093
Phone number: 931-920-7241
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Mailing Address
Mr. ALAN JOSEPH PETTIPAS BA
1245 GREENFIELD DR
CLARKSVILLE, TN 37040-4106
Phone number: 931-645-5152
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