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Individual
MR. PETER FLORES
Active
Individual
MR. PETER FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
100668
NY
1041C0700X
Clinical Social Worker
Primary
091085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091085
LICENSED CLINICAL SOCIAL WORK
NY
01
—
100668
LICENSED MASTER SOCIAL WORK
NY
Enumeration date
11/15/2019
Last updated
06/28/2022
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