Name | PETILLO DARREN JOSEPH |
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Address | STAMFORDCT |
Profession | LICENSED CLINICAL SOCIAL WORK |
License No | 052906 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron02/29/96) |
Additional Qualification | R -Psychotherapy Privilege |
Status | REGISTERED |
Registered through last day of |