Individual
ADRIANA PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1308 S MAIN ST, PLYMOUTH, MI 48170-2253
(734) 451-3400
Mailing address
3090 NOTTAWASSIPEE LAKE RD, MARSHALL, MI 49068-9289
(248) 880-9008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801105836
MI
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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