Marianna Peterson, MSW

NPI 1164827366 · on the registry since 2014 · sole proprietor

Practice

Address: 5601 State St
East Saint Louis, IL 62203
Phone: (618) 213-3170
Fax: (618) 493-6390
Organisation at this address: Hoyleton Youth And Family Services
Pure Living Recovery And Rehabilition Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101Y00000X
1041C0700X
251S00000X
Sex: Female
Record last updated: 2014-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois