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Individual
LEEANN PETERS
Active
Individual
LEEANN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS22941
NC
104100000X
Social Worker
Primary
094211
NY
1041C0700X
Clinical Social Worker
C012606
NC
Other
Enumeration date
08/24/2017
Last updated
07/06/2020
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