Individual
BRENDA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 874-7601
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093121
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/18/2022
Last updated
06/29/2023
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