Search › Mississippi › Clinical Social Worker
Michael Pettis, LCSW
NPI 1104036821 · on the registry since 2007
Practice
- Address
- 499 Gloster Creek Vlg
Suite D-1
Tupelo, MS 38801 - Phone
- (662) 842-4651
- Fax
- (662) 842-7335
- Organisation at this address
- Athletico, Ltd
Charles E Atkins, Jr Dmd
John Russell, Iii, D.M.D.
Urologic Reference Lab Llc
Surgery Clinic Of Tupelo PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi