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Individual

JESSICA COLLEN PETRASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
940 AVE 64, PASADENA, CA 91105
(323) 254-2274
(213) 355-1249
Mailing address
940 AVE 64, PASADENA, CA 91105
(323) 254-2274
(213) 355-1249

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW29517
CA

Other

Enumeration date
11/30/2010
Last updated
01/30/2014
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