MARY PETERSEN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1710083084

Practice Address

705 HILLTOP CT
Coram, NY 11727

Phone: (631) 696-4355

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes R023294 (NY)

Frequently Asked Questions

NPI 1710083084 is the National Provider Identifier for MARY PETERSEN, LCSW, a Social Worker - Clinical provider located in Coram, NY. This NPI was enumerated on September 15, 2006.
MARY PETERSEN, LCSW practices at 705 HILLTOP CT, Coram, NY 11727.

Quick Facts

NPI
1710083084
Type
Individual
Enumerated
Sep 15, 2006
Last Updated
Jul 8, 2007

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