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1578764981
LORETTA CLARISE PETTIFORD
LAVALE, MD
NPI
1578764981
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Former Name
LORETTA CLARISE LANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MD 13717)
Enumeration Date
2007-05-31
Last Update Date
2019-02-01
Business Address
MRS. LORETTA CLARISE PETTIFORD MSW,LICSW,LCSW-C,C.P
12611 HENRY DR SW
LAVALE, MD 21502-6147
Phone number: 240-727-2451
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Mailing Address
MRS. LORETTA CLARISE PETTIFORD MSW,LICSW,LCSW-C,C.P
12611 HENRY DR SW
LAVALE, MD 21502-6147
Phone number: 240-727-2451
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