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Individual
MRS. EMILY MARIE PETRUS
Active
Individual
MRS. EMILY MARIE PETRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
089822
NY
1041C0700X
Clinical Social Worker
Primary
085870-1
NY
Other
Enumeration date
12/02/2013
Last updated
11/09/2022
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