Lisa Petgrave-Nelson, LMSW
NPI #1669980835 in South Setauket, New York
Provider Information
- NPI Number
- 1669980835
- Entity Type
- Individual
- Name
- Lisa Petgrave-Nelson, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Jan 22, 2018
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 10 TYBURN LN
- City
- South Setauket
- State
- New York
- ZIP Code
- 11720-1428
- Phone
- (516) 698-5511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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