Individual
MR. DARREN PETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
31 IMPERIAL AVE, 3RD FLOOR, WESTPORT, CT 06880-4303
(201) 759-9091
(201) 759-9091
Mailing address
5 HUNDLEY CT, UNIT 2A, STAMFORD, CT 06902-3923
(201) 759-9091
(201) 759-9091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005990
CT
Other
Enumeration date
07/29/2006
Last updated
09/16/2008
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