Individual
MR. DANIEL JAY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
36921 JEFFERSON CT APT 758, FARMINGTON HILLS, MI 48335-1979
(248) 416-9066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801082846
MI
1041C0700X
Clinical Social Worker
Primary
6801082846
MI
Other
Enumeration date
02/14/2008
Last updated
03/03/2026
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