DENNIS GUY PETTY

SPRINGFIELD, IL
NPI1437236601
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-004075)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Mr. DENNIS GUY PETTY LCSW
1124 S 6TH ST
SPRINGFIELD, IL 62703-2406
Phone number: 217-523-3143
Mailing Address
Mr. DENNIS GUY PETTY LCSW
1124 S 6TH ST
SPRINGFIELD, IL 62703-2406
Phone number: 217-523-3143
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