Individual
MS. HEATHER MARIE PETRACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 S 5TH AVE, HIGHLAND PARK, NJ 08904-2604
(732) 825-7729
Mailing address
171 WALNUT CT, HIGHLAND PARK, NJ 08904-1931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL0686600
NJ
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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