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Individual
MRS. SUZANNE MARIE PETRUCCI
Active
Individual
MRS. SUZANNE MARIE PETRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05267700
NJ
1041C0700X
Clinical Social Worker
44SL05135800
NJ
1041S0200X
School Social Worker
44SL05135800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492829000
MAGELLAN
NJ
Enumeration date
08/09/2007
Last updated
10/20/2023
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