Individual
MS. AMY JACQUELIN PETRULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.C.S.W.
Contact information
Practice address
108 1/2 W CALLENDER ST APT 4, LIVINGSTON, MT 59047-2647
(406) 223-2092
(406) 823-6305
Mailing address
316 W FRONT ST, LIVINGSTON, MT 59047-1925
(406) 223-2092
(406) 823-6305
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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