William C Petty

NPI 1477994937 - Counselor - 101Y00000X

NPI Details
NPI 1477994937
Gender Male
Enumeration Date 07/12/2013
Last Updated 07/12/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
351 W SWANSON AVE
SUITE 4
WASILLA AK, 99654-6853, US
Phone (907) 376-5228
Fax (907) 376-8126
Business Location
351 W SWANSON AVE
SUITE 4
WASILLA AK, 99654-6853, US
Phone (907) 376-5228
Fax (907) 376-8126
Toxanomy
Taxonomy Code 101Y00000X
License State Alaska
License Number 493
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According to our database, William C Petty NPI is 1477994937, taxonomy code is 101Y00000X and license number is 493, license state is located at Alaska. William C Petty physically located at 351 W Swanson Ave, Wasilla AK, 99654-6853. NPI Number William C Petty has the Individual type.

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1477994937 NPI number is provided on an as is basis without warranty of any kind. 1477994937 is maintained by the National Plan & Provider Enumeration System. The contents of William C Petty are for informational purposes only.