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Individual
JEFFREY M PETERS
Active
Individual
JEFFREY M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 6247
KS
1041C0700X
Clinical Social Worker
Primary
3958
KS
Other
Enumeration date
07/11/2006
Last updated
03/25/2013
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