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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MICHELLE LYNNE PETTIJOHN, L.S.C.S.W.

Active Sole Proprietor

MRS. MICHELLE LYNNE PETTIJOHN, L.S.C.S.W. is a Clinical Social Worker healthcare provider located in MISSION, Kansas. NPI 1619110301 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MISSION, KS

Registration Details

NPI Number
1619110301
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2009 (17.33666245312 yrs)
Last Updated
Apr 11, 2009
License
2213 (KS)
Sole Proprietor
Yes

Practice Information

Address
5960 DEARBORN ST STE 1
MISSION, KS, 662023342
Browse KS providers · Browse ZIP 66202
Phone
9136456652
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MISSION, KS

Name Credential NPI
MARGARET WEILER LSCSW 1174542393
THOMAS EDWARD SCHROEDER LSCSW 1467475855
CAROL ROEDER-ESSER LSCSW 1710900105
TREVA SUSAN BERBER LSCSW 1407861289
HELEN KATHLEEN IMEL LSCSW 1467467258
LISA MICHELLE GUGLER LSCSW 1376559674
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.