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Ms. Marilyn Sandra Pettinati, LCSW
Mental Health Counselor in Fair Lawn, New Jersey
NPI 1811934995

Marilyn Sandra Pettinati is a Mental Health Counselor based in Fair Lawn, NJ and is specialized in Mental Health. Marilyn Sandra Pettinati practices in Fair Lawn, NJ and has the professional credentials of LCSW. The NPI Number for Marilyn Sandra Pettinati is 1811934995 and holds a License No. 44SCOO405700 (New Jersey).

The current practice location address for Marilyn Sandra Pettinati is 38-14 Morlot Ave, Fair Lawn, NJ and can be reached out via phone at 201-723-9016.

Location: 38-14 Morlot Ave, Fair Lawn, NJ, 07410-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811934995
Provider Name
Marilyn Sandra Pettinati
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
38-14 Morlot Ave, Fair Lawn, NJ, 07410-4917
Phone Number
201-723-9016
Fax Number
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCO4057NJ 01 NJ LICENSED CLINICAL SOCIAL
institution
Provider Business Practice Location Address Details
Address
38-14 Morlot Ave
City
Fair Lawn
State
New Jersey
Zip
07410-4917
Phone Number
201-723-9016
Fax Number
person
Provider Business Mailing Address Details
Address
38-14 Morlot Ave
City
Fair Lawn
State
New Jersey
Zip
07410-4917
Phone Number
201-723-9016
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
44SCOO405700 (New Jersey)
Definition
Definition to come...
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