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1306813548
MARY L PETERSON
GRAND RAPIDS, MI
NPI
1306813548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801074847)
Enumeration Date
2006-03-07
Last Update Date
2007-07-08
Business Address
MARY L PETERSON MSW ACSW
2040 RAYBROOK SE SUITE 103
GRAND RAPIDS, MI 49546
Phone number: 616-942-8060
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Mailing Address
MARY L PETERSON MSW ACSW
2040 RAYBROOK ST SE SUITE 103
GRAND RAPIDS, MI 49546-7718
Phone number: 616-942-8060
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