Individual
DEBRA ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LPC
Contact information
Practice address
2180 44TH ST SE, SUITE 108, KENTWOOD, MI 49508-5323
(616) 455-1499
(616) 455-1499
Mailing address
2180 44TH ST SE, SUITE 108, KENTWOOD, MI 49508-5323
(616) 455-1499
(616) 455-1499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401006602
MI
1041C0700X
Clinical Social Worker
Primary
6801057019
MI
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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