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Individual
MS. AMY JACQUELIN PETRULIS
Active
Individual
MS. AMY JACQUELIN PETRULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1060
MT
Other
Enumeration date
01/24/2012
Last updated
10/15/2019
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