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Individual
KERRI PETERSON
Active
Individual
KERRI PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12275
NE
104100000X
Social Worker
7499
NE
Other
Enumeration date
07/06/2020
Last updated
07/07/2020
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