Individual
MRS. HEATHER E. PETHERBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1128 VILLA LINDE CT STE 10, FLINT, MI 48532-3454
(810) 282-1674
Mailing address
13271 TORREY RD, FENTON, MI 48430-1037
(810) 282-1674
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801105138
MI
Other
Enumeration date
08/25/2015
Last updated
03/18/2025
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