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1104114750
LISA PETILLO
BROOKLYN, NY
NPI
1104114750
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Former Name
LISA MATUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 076798)
Enumeration Date
2011-07-18
Last Update Date
2023-06-19
Business Address
Dr. LISA PETILLO PhD, LCSW
699 SACKETT ST
BROOKLYN, NY 11217-4561
Phone number: 631-626-7420
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Mailing Address
Dr. LISA PETILLO PhD, LCSW
699 SACKETT ST
BROOKLYN, NY 11217-4561
Phone number: 631-626-7420
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