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Individual
MICHELLE L.F. PETRUZZELLO
Active
Individual
MICHELLE L.F. PETRUZZELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183952
ANTHEM
VA
01
—
293843
AMERIGROUP
VA
Enumeration date
08/25/2006
Last updated
09/07/2007
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