Most Relevant Information
Provider Data
| NPI Number: | 1003241803 |
| Provider Name: | RANDALL BERWIN PETTIT LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LMSW-13458 |
Most Important Dates
| Enumeration Date: | 09/11/2013 |
| Last Updated: | 09/11/2013 |
Provider Practice Location
6700 N ORACLE RD STE 505
TUCSON
AZ
857047736
Practice Location Phone/Fax
| Phone: | 5207919974 |
| Fax: | 5207910676 |
Provider Mailing Location
6700 N ORACLE RD STE 505
TUCSON
AZ
857047736
Provider Mailing Phone/Fax
| Phone: | 5207919974 |
| Fax: | 5207910676 |