Peterson, Mary L
Peterson, Mary L is an sole proprietor health care provider with primary practice located at 2040 Raybrook Se Suite 103, Grand Rapids MI 49546. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Mary L can be contacted via phone (616) 942-8060.Contact Information
Primary practice address
2040 Raybrook Se Suite 103
Grand Rapids MI 49546
Phone: (616) 942-8060
Fax: (616) 942-6690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801074847 | Michigan |
Profile Details
| NPI number | 1306813548 |
|---|---|
| LBN Legal business name | Peterson, Mary L |
| Credentials | MSW ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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