Individual ProviderMitzi PetersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address50 Maple St, Milford, MA 01757-3680(508) 422-3468PECOS EnrollmentBased on the most recent information from CMS, provider Mitzi Peterson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1720562903Provider TypeIndividualFull NamePeterson, MitziCredentialMSWGenderFemaleSole ProprietorNoEnumeration Date9/24/2018Last Updated9/24/2018Contact InformationPractice LocationPractice Address50 Maple St, Milford, MA 01757-3680Phone(508) 422-3468FaxUnlisted FaxMailing LocationMailing Address50 Maple St, Milford, MA 01757-3680Phone(508) 422-3468FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense114574Massachusetts