Ronald Petty, LSW
NPI #1215121306 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1215121306
- Entity Type
- Individual
- Name
- Ronald Petty, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LSW
- Enumeration Date
- Aug 31, 2007
- Last Updated
- Aug 31, 2007
Practice Location
- Address
- 655 E JERSEY ST
- Address 2
- BEHAVIORAL HEALTH
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07206-1259
- Phone
- (908) 994-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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