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Individual
MRS. MARISA LOUISE PETERS
Active
Individual
MRS. MARISA LOUISE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
109163
NY
Other
Enumeration date
10/09/2018
Last updated
03/03/2020
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