Individual
IMONI PETGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 793-3500
(860) 793-3369
Mailing address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 793-3500
(860) 793-3369
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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