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1588290670
RUTUBULA PETTAWAY
ATLANTA, GA
NPI
1588290670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006936)
Enumeration Date
2020-03-20
Last Update Date
2020-03-20
Business Address
Mrs. RUTUBULA PETTAWAY LCSW
1046 RIDGE AVE SW
ATLANTA, GA 30315-1640
Phone number: 404-564-6942
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Mailing Address
Mrs. RUTUBULA PETTAWAY LCSW
2238 NANTUCKET CT NE
MARIETTA, GA 30066-2128
Phone number: 904-610-2534
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