MS. Amy Jacquelin Petrulis, M.S., L.C.S.W.

NPI #1194096016 in Livingston, Montana

Provider Information

NPI Number
1194096016
Entity Type
Individual
Name
MS. Amy Jacquelin Petrulis, M.S., L.C.S.W.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
M.S., L.C.S.W.
Enumeration Date
Jan 24, 2012
Last Updated
Oct 15, 2019

Practice Location

Address
108 1/2 W CALLENDER ST APT 4
State
Montana
ZIP Code
59047-2647
Phone
(406) 223-2092

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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