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Individual
PETER J NINEMIRE
Active
Individual
PETER J NINEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
344
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
104100000X
Social Worker
6503
KS
1041C0700X
Clinical Social Worker
Primary
4326
KS
Other
Enumeration date
08/29/2008
Last updated
08/12/2022
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