Individual
RACHEL PETTERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TRIPOLI ST, WAYNE, NJ 07470-6618
(862) 239-0905
Mailing address
1 TRIPOLI ST, WAYNE, NJ 07470-6618
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07049100
NJ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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