Individual
MRS. GIUSEPPINA MARIA PETKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,LBSW
Contact information
Practice address
38251 S GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1929
(586) 783-0998
Mailing address
11499 27 MILE RD, WASHINGTON, MI 48094-3915
(586) 992-3352
(586) 469-7960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801063294
MI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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