Individual
JAMIE ALYSSA PETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
613 HOPE RD, EATONTOWN, NJ 07724-1278
(908) 902-7774
Mailing address
68 BERRY PL, LONG BRANCH, NJ 07740-7517
(732) 887-2596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06486900
NJ
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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