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1740458538
DANIEL JAY PETERSEN
SOUTHGATE, MI
NPI
1740458538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801082846)
Enumeration Date
2008-02-14
Last Update Date
2015-07-20
Business Address
Mr. DANIEL JAY PETERSEN LMSW
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
Mr. DANIEL JAY PETERSEN LMSW
36921 JEFFERSON CT APT 758
FARMINGTON HILLS, MI 48335-1979
Phone number: 248-416-9066
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