Individual
MARY KATHLEEN PETTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
88 SCHOOLHOUSE RD, WHITING, NJ 08759-3051
(732) 350-2120
(732) 350-2725
Mailing address
339 W FISH RD, JACKSON, NJ 08527-3126
(732) 928-5189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW00809700
NJ
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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