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1609480557
DAMIEN W PETTWAY
ATHENS, GA
NPI
1609480557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007537)
Enumeration Date
2020-09-08
Last Update Date
2021-03-23
Business Address
DAMIEN W PETTWAY Ed.S., LCSW
445 HUNTINGTON RD STE 120
ATHENS, GA 30606-1840
Phone number: 706-389-5171
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Mailing Address
DAMIEN W PETTWAY Ed.S., LCSW
3651 RYLAND HILLS DR
WATKINSVILLE, GA 30677-2978
Phone number: 706-248-5663
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