Bethany Anne Petrous, LLBSW

NPI #1972171122 in Grosse Pointe Park, Michigan

Provider Information

NPI Number: 1972171122
Entity Type: Individual
Name: Bethany Anne Petrous, LLBSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LLBSW
Enumeration Date: Jun 15, 2021
Last Updated: Jun 15, 2021

Practice Location

Address: 15222 E JEFFERSON AVE
City: Grosse Pointe Park
State: Michigan
ZIP Code: 48230-1314
Phone: (313) 825-2403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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