Mary Petro Lcsw Pllc

NPI #1447077615 in Rockford, Illinois

Provider Information

NPI Number: 1447077615
Entity Type: Organization
Organization Name: Mary Petro Lcsw Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 20, 2024
Last Updated: Sep 20, 2024

Practice Location

Address: 415 S MULFORD RD
City: Rockford
State: Illinois
ZIP Code: 61108-3011
Phone: (779) 910-5001

Authorized Official

Name: MARY M PETRO, LCSW
Title: MEMBER
Phone: (779) 910-5001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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