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1912964776
MICHELLE A PETTIS-TIBBS
SALEM, VA
NPI
1912964776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 434-970-3400)
Enumeration Date
2006-04-27
Last Update Date
2014-04-09
Business Address
Ms. MICHELLE A PETTIS-TIBBS LCSW
1970 ROANOKE BLVD 4730-B SUSSEX CT
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
Ms. MICHELLE A PETTIS-TIBBS LCSW
1970 ROANOKE BLVD 1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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