MARY LORRAINE PETERSEN

CORAM, NY
NPI1710083084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R023294)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
-- MARY LORRAINE PETERSEN LCSW
705 HILLTOP CT
CORAM, NY 11727
Phone number: 631-696-4355
Mailing Address
-- MARY LORRAINE PETERSEN LCSW
705 HILLTOP CT
CORAM, NY 11727
Phone number: 631-988-9812
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