Edward Petrarca, LCSW

NPI #1003986787 in Montclair, New Jersey

Provider Information

NPI Number: 1003986787
Entity Type: Individual
Name: Edward Petrarca, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 9, 2006
Last Updated: Jul 10, 2007

Practice Location

Address: 1 BAY AVE
Address 2: MOUNTAINSIDE HOSPITAL
City: Montclair
State: New Jersey
ZIP Code: 07042-4837
Phone: (973) 429-6813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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