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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY L PETERSON, MSW ACSW

Active Sole Proprietor

MARY L PETERSON, MSW ACSW is a Clinical Social Worker healthcare provider located in GRAND RAPIDS, Michigan. NPI 1306813548 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GRAND RAPIDS, MI

Registration Details

NPI Number
1306813548
Provider Type
Individual
Gender
Female
NPI Issued
Mar 7, 2006 (20.394433469693 yrs)
Last Updated
Jul 8, 2007
License
6801074847 (MI)
Sole Proprietor
Yes

Practice Information

Address
2040 RAYBROOK SE
SUITE 103
GRAND RAPIDS, MI, 49546
Browse MI providers · Browse ZIP 49546
Phone
6169428060
Fax
6169426690
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in GRAND RAPIDS, MI

Name Credential NPI
LISA J. GRIFFIN LMSW 1598765992
MATTHEW D JACHALKE LMSW 1306833439
ROBERT W KOPFENSTEINER JR. LMSW 1386623643
CAROLE CHISHOLM LMSW CSW 1356312474
ROBERT DAVIS LMSW CSW 1962473090
SUSAN K STAUFFER LMSW 1922070143
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.