Shantel Nichole Pettit, CSW

NPI #1083047567 in Riverton, Utah

Provider Information

NPI Number: 1083047567
Entity Type: Individual
Name: Shantel Nichole Pettit, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: CSW
Enumeration Date: Aug 19, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 3740 W MARKET CENTER DR
Address 2: #1200
City: Riverton
State: Utah
ZIP Code: 84065-8026
Phone: (801) 240-9436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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