Wyletta Pettit

NPI #1851867014 in Wagoner, Oklahoma

Provider Information

NPI Number: 1851867014
Entity Type: Individual
Name: Wyletta Pettit
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 15, 2018
Last Updated: Oct 15, 2018

Practice Location

Address: 607 N POLK AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-2713
Phone: (918) 304-4371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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