Colton Pettyjohn
Colton Pettyjohn is a Social Worker in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2025.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
4205 Beach St Apt 106Rockford, IL 61108-7854
Phone: (217) 271-7211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 150109179 (IL) |
|---|
Record details
| NPI number | 1295533388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 4, 2025 |
| Last updated in NPPES | March 4, 2025 |
| Certification date | March 4, 2025 |
| Mailing address | 4205 Beach St Apt 106, Rockford, IL 61108-7854 |
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