Individual
MISS MARY L PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-4913
Mailing address
209 GRANT ST, GRAND BLANC, MI 48439-1121
(810) 919-4064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801068323
MI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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