Search › Georgia › 1041C0700X
Marlene Petta, MSSA ACSW LMSW
NPI 1417922097 · on the registry since 2006
Practice
- Address
- 380 Crown Mill Dr
Martinez, GA 30907 - Phone
- (706) 364-7954
- Fax
- (706) 364-7954
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-13
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 Georgia