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Desirae Pettit
NPI 1124649157 · on the registry since 2020
Practice
- Address
- 33 Beach Ave
Terryville, CT 06786 - Phone
- (203) 592-4593
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-30
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 Connecticut