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Mary A. C. Petrellese, BSW
Student in an Organized Health Care Education/Training Program in Danbury, Connecticut
NPI 1356651475

Mary A. C. Petrellese is a Student in an Organized Health Care Education/Training Program based in Danbury, CT. Mary A. C. Petrellese practices in Danbury, CT and has the professional credentials of BSW. The NPI Number for Mary A. C. Petrellese is 1356651475 and holds a License No. (Connecticut).

The current practice location address for Mary A. C. Petrellese is 30 Main St, Danbury, CT and can be reached out via phone at 203-743-4412 and via fax at 203-744-3500.

Location: 30 Main St, Danbury, CT, 06810-3040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356651475
Provider Name
Mary A. C. Petrellese
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
30 Main St, Danbury, CT, 06810-3040
Phone Number
203-743-4412
Fax Number
203-744-3500
Provider Enumeration Date
10/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008003522 05 CT
institution
Provider Business Practice Location Address Details
Address
30 Main St
City
Danbury
State
Connecticut
Zip
06810-3040
Phone Number
203-743-4412
Fax Number
203-744-3500
person
Provider Business Mailing Address Details
Address
30 Main St
City
Danbury
State
Connecticut
Zip
06810-3040
Phone Number
203-743-4412
Fax Number
203-744-3500
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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