DARIUS D PETTWAY

DALLAS, TX
NPI1841045176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  68071)
Enumeration Date2024-04-19
Last Update Date2024-04-19
Business Address
DARIUS D PETTWAY
PO BOX 210061
DALLAS, TX 75211-0061
Phone number: 214-945-0642
Mailing Address
DARIUS D PETTWAY
PO BOX 210061
DALLAS, TX 75211-0061
Phone number: 214-945-0642
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