Individual
SERENA PETULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
7 REGENT ST, LIVINGSTON, NJ 07039-1628
(862) 799-7627
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07293500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL07293500
LICENSE
NJ
Enumeration date
07/09/2025
Last updated
07/09/2025
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