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1922102201
MARY LOUISE PETRISKO
EVANSVILLE, IN
NPI
1922102201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003567A)
Enumeration Date
2006-09-08
Last Update Date
2012-02-08
Business Address
Miss MARY LOUISE PETRISKO LCSW
6221 PHYSICIANS CT SUITE 2
EVANSVILLE, IN 47715-4031
Phone number: 812-491-7739
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Mailing Address
Miss MARY LOUISE PETRISKO LCSW
6221 PHYSICIANS CT SUITE 2
EVANSVILLE, IN 47715-4031
Phone number: 812-491-7739
Copy
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