Beverly B Pettigrew

NPI 1235485889 - Counselor - 101YM0800X

NPI Details
NPI 1235485889
Gender Female
Enumeration Date 08/01/2012
Last Updated 08/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3444 WISCONSIN AVE
VICKSBURG MS, 39180-5331, US
Phone (601) 638-0031
Fax
Business Location
3444 WISCONSIN AVE
VICKSBURG MS, 39180-5331, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Beverly B Pettigrew NPI is 1235485889, taxonomy code is 101YM0800X Beverly B Pettigrew physically located at 3444 Wisconsin Ave, Vicksburg MS, 39180-5331. NPI Number Beverly B Pettigrew has the Individual type.

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1235485889 NPI number is provided on an as is basis without warranty of any kind. 1235485889 is maintained by the National Plan & Provider Enumeration System. The contents of Beverly B Pettigrew are for informational purposes only.