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Lisa Petgrave-Nelson, LMSW

Social Worker in South Setauket, NY. Individual provider (NPI-1).

NPI number1669980835
StatusActive
Last updated in NPPESJan 22, 2018

Details

NPI
1669980835
Entity type
Individual (NPI-1)
Name
Lisa Petgrave-Nelson
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2018
Last updated
Jan 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker086662NYYes

Practice location

10 Tyburn Ln
South Setauket, NY 11720-1428

Phone 516-698-5511

Mailing address

10 Tyburn Ln
South Setauket, NY 11720-1428

Phone 516-698-5511

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Other Social Worker providers in South Setauket, NY

All 8 Social Worker providers in South Setauket · All 170 providers in South Setauket

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