JUSTIN DAVID PETRUSAK

DETROIT, MI
NPI1316369937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801090356)
Enumeration Date2014-01-16
Last Update Date2016-03-08
Business Address
Mr. JUSTIN DAVID PETRUSAK LMSW
4756 CASS AVE
DETROIT, MI 48201-2357
Phone number: 313-577-4409
Mailing Address
Mr. JUSTIN DAVID PETRUSAK LMSW
9428 MCDOUGALL ST FL 2
HAMTRAMCK, MI 48212-3564
Phone number: 586-214-4019
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