Individual
MRS. TRICIA MICHELE PETROMELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
73 COUNTY ROUTE 11A, CRARYVILLE, NY 12521-5510
(518) 325-2864
Mailing address
73 COUNTY ROUTE 11A, CRARYVILLE, NY 12521-5510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
068592
NY
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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