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1003986787
EDWARD PETRARCA
MONTCLAIR, NJ
NPI
1003986787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00016500)
Enumeration Date
2006-11-09
Last Update Date
2007-07-10
Business Address
-- EDWARD PETRARCA LCSW
1 BAY AVE MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6813
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Mailing Address
-- EDWARD PETRARCA LCSW
1 BAY AVE MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6000
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