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Contact Information

STACY L PETTITT, MSW
340 NE MAPLE
PULLMAN, WA99163
 Phone: 509-334-1133
 Fax: 509-334-1133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for STACY L PETTITT · (Female)

NPI Number 1104150705
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 09/29/2009
Last updated 06/04/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # SA60567471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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