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Jaclyn Petrov, LCSW
NPI 1578878799 · on the registry since 2010
Practice
- Address
- 3671 Hudson Manor Ter
Apt. 18a
Bronx, NY 10463 - Phone
- (561) 389-5898
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York