Individual
CASSIE PETTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26680 COACHLIGHT ST, WOODHAVEN, MI 48183-4391
(734) 626-9040
Mailing address
26680 COACHLIGHT ST, WOODHAVEN, MI 48183-4391
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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