Dennis J Petrusovich, MSW LSW Valid NPI

Individual provider · Social Worker · Wayne, NJ

NPI

1962277707

Type

Individual (Type 1)

Primary specialty

Social Worker

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

104100000X

License number

44SL06064300 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2023-11-21

Last updated

2023-11-21