Individual
MRS. GINA ROSE MACOLINO PETRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
830 SHERMAN AVE, HAMDEN, CT 06514-1147
(203) 288-4325
(203) 488-4325
Mailing address
830 SHERMAN AVE, HAMDEN, CT 06514-1147
(203) 288-4325
(203) 488-4325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8300
CT
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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