Juanita Pettaway, LISW

NPI #1518338748 in Maumee, Ohio

Provider Information

NPI Number: 1518338748
Entity Type: Individual
Name: Juanita Pettaway, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Oct 14, 2015
Last Updated: Sep 24, 2024

Practice Location

Address: 311 1/2 CONANT ST STE 205
City: Maumee
State: Ohio
ZIP Code: 43537-3378
Phone: (567) 229-3467

Specialties & Taxonomy Codes

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

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