Mindy Sue Pettenger

NPI #1386214559 in Freeport, Illinois

Provider Information

NPI Number: 1386214559
Entity Type: Individual
Name: Mindy Sue Pettenger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 29, 2021
Last Updated: Jun 29, 2021

Practice Location

Address: 421 W EXCHANGE ST
City: Freeport
State: Illinois
ZIP Code: 61032-4008
Phone: (815) 599-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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