Individual
PETERSON DENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
15 WILLIAM ST, NEWARK, NJ 07102-2840
(862) 215-2229
Mailing address
15 WILLIAM ST, NEWARK, NJ 07102-2840
(862) 215-2229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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