Petersen, Mary

Petersen, Mary is an individual health care provider with primary practice located at 58144 Gratiot Ave , New Haven MI 48048. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petersen, Mary can be contacted via phone (810) 794-4982.

Contact Information

Primary practice address
58144 Gratiot Ave New Haven MI 48048
Phone: (810) 794-4982
Fax: (810) 794-4407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801080062 Michigan

Profile Details

NPI number 1003986068
LBN Legal business name Petersen, Mary
Credentials MSW, ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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