Tara Jean Petrungaro, LCSW
NPI #1083134605 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1083134605
- Entity Type
- Individual
- Name
- Tara Jean Petrungaro, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jun 24, 2017
- Last Updated
- Sep 6, 2022
Practice Location
- Address
- 181 LORENZO CIR
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-2279
- Phone
- (631) 708-9309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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