Mary Petersen is a Clinical in Algonac, Michigan. Mary Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Petersen is 1003986068. The last update date is 2007-07-08.
Mary Petersen's current location address is 555 Saint Clair River Dr, Algonac, Michigan. You can contact this provider via phone number 8107944982 and fax number 8107944407. The mailing address for Mary Petersen is 555 Saint Clair River Dr, Algonac, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Petersen |
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Address | 555 Saint Clair River Dr, Algonac, Michigan |
Phone Number | 8107944982 |
Fax Number | 8107944407 |
Sole Proprietor | N |
Credentials | MSW, ACSW |
NPI Number Detail
NPI Number | 1003986068 |
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Provider Enumeration Date | 2006-11-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 555 Saint Clair River Dr |
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City | Algonac |
State | Michigan (MI) |
Post Code | 480011802 |
Phone Number | 8107944982 |
Fax Number | 8107944407 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801080062 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Post Comment/ Review Below
What is the Mary Petersen's unique identification number?
The Mary Petersen has been assigned the NPI (National Provider Identifier) Number 1003986068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mary Petersen is geographically located?
The Mary Petersen is physically situated at the following location: 555 Saint Clair River Dr, Algonac, MI, 480011802.
What is Mary Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Petersen is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Mary Petersen's 1003986068 issued?
The Mary Petersen's 1003986068 was issued on 2006-11-08.
As of what date were the details pertaining to Mary Petersen last refreshed?
The information related to the Mary Petersen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY