Individual
MR. DENNIS J PETRUSOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LSW
Contact information
Practice address
21 OAKWOOD DR, WAYNE, NJ 07470-5724
(201) 538-9350
Mailing address
21 OAKWOOD DR, WAYNE, NJ 07470-5724
(201) 538-9350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06064300
NJ
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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