Mary Petro LCSW PLLC
Mary Petro LCSW PLLC provides Clinical Social Worker services in Rockford, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
415 S Mulford RdRockford, IL 61108-3011
Phone: (779) 910-5001
Fax: (815) 399-5767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1447077615 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Petro — Member · (779) 910-5001 |
| NPI enumerated | September 20, 2024 |
| Last updated in NPPES | September 20, 2024 |
| Certification date | September 20, 2024 |
| Mailing address | 11166 Fyvie Ct, Belvidere, IL 61008-7408 |
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