Individual
JEFFRY PETROSEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 CORDAGE PARK CIR, SUITE 305A, PLYMOUTH, MA 02360-7331
(508) 830-3444
Mailing address
PO BOX 257, MANOMET, MA 02345-0257
(857) 939-8414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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