Imoni Petgrave, MSW

NPI #1306490016 in Plainville, Connecticut

Provider Information

NPI Number: 1306490016
Entity Type: Individual
Name: Imoni Petgrave, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Jul 31, 2019
Last Updated: Jul 31, 2019

Practice Location

Address: 74 EAST ST
City: Plainville
State: Connecticut
ZIP Code: 06062-2367
Phone: (860) 793-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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