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Search › Illinois › Clinical Social Worker

Dennis Petty, LCSW

NPI 1437236601 · on the registry since 2006 · sole proprietor

Practice

Address
1124 S 6th St
Springfield, IL 62703
Phone
(217) 523-3143
Fax
(217) 523-7695
Clinicians at this address
3

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

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 Illinois