Individual
MRS. DONNA TERESE PETIT-HOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
500 NORTH BRIDGE ST., BRIDGEWATER, NJ 08807
(908) 725-2800
(908) 704-1790
Mailing address
500 NORTH BRIDGE ST., BRIDGEWATER, NJ 08807
(908) 725-2800
(908) 704-1790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05219400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID NUMBER
NJ
01
—
527486
AGENCY MEDICARE NUMBER
NJ
01
—
8363102
AGENCY MEDICAID NUMBER
NJ
Enumeration date
12/11/2008
Last updated
12/11/2008
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