Individual
MRS. MARY MARGARET PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(317) 718-0089
(317) 718-0097
Mailing address
1304 PAMELA DR, FRANKLIN, IN 46131-7027
(317) 736-8551
(317) 736-8551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
739587
IN
174400000X
Specialist
739587
IN
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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