Allison Elizabeth Pettibone, MSW, LMSW Valid NPI
Individual provider · Clinical Social Worker · Florissant, MO
- NPI
- 1619255403
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2011016161 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-07-27
- Last updated
- 2011-07-27
Practice location
2705 Mullanphy Ln
Florissant, MO 63031-3727
(314) 830-6298