| Mary Petersen, MSW, ACSW | |
|
58144 Gratiot Ave, New Haven, MI 48048 | |
| (810) 794-4982 | |
| (810) 794-4407 |
| Full Name | Mary Petersen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 58144 Gratiot Ave, New Haven, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003986068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801080062 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Petersen, MSW, ACSW 555 Saint Clair River Dr, Algonac, MI 48001-1802 Ph: (810) 794-4982 | Mary Petersen, MSW, ACSW 58144 Gratiot Ave, New Haven, MI 48048 Ph: (810) 794-4982 |
Michelle Fagel, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58144 Gratiot Avenue, New Haven, MI 48048 Phone: 810-794-4982 Fax: 810-794-4407 | |
Tanesha Terrell, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30061 John Rivers Dr, New Haven, MI 48048 Phone: 586-746-4297 |