Individual
MRS. MARY L PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11000 SW 220TH ST, CUTLER BAY, FL 33170-3016
(305) 256-6275
(305) 256-6278
Mailing address
11000 SW 220 ST, MIAMI, FL 33170-3016
(305) 256-6275
(305) 256-6278
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
SW7744
FL
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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