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Individual
MICHAEL JOSEPH PETERS SR.
Active
Individual
MICHAEL JOSEPH PETERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1670AD
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
1670AD
MA
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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