Adriana Petrucci, LMSW
Social Worker, Clinical in Plymouth, MI. Individual provider (NPI-1).
NPI number1033712930
StatusActive
Last updated in NPPESNov 21, 2020
Details
- NPI
- 1033712930
- Entity type
- Individual (NPI-1)
- Name
- Adriana Petrucci
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2020
- Certification date
- Nov 21, 2020
- Last updated
- Nov 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801105836 | MI | Yes |
Practice location
1308 S Main StPlymouth, MI 48170-2253
Phone 734-451-3400
Mailing address
3090 Nottawassipee Lake RdMarshall, MI 49068-9289
Phone 248-880-9008
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