Maegan Lavern Pettit

NPI #1689082489 in Bloomington, Illinois

Provider Information

NPI Number: 1689082489
Entity Type: Individual
Name: Maegan Lavern Pettit
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 25, 2014
Last Updated: Jul 25, 2014

Practice Location

Address: 108 W MARKET ST
City: Bloomington
State: Illinois
ZIP Code: 61701-3918
Phone: (309) 827-5351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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