Individual
GEORGE NICHOLAS PANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
33 OVERLOOK RD, SUMMIT, NJ 07901-3570
(908) 522-6617
Mailing address
27 COMMONWEALTH DR, BASKING RIDGE, NJ 07920-3060
(646) 696-1514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06351900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06111900
NJ
Other
Enumeration date
01/29/2020
Last updated
11/08/2022
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