Individual
MRS. ANTOINETTE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
280 N MILFORD RD, HIGHLAND, MI 48357-4536
(248) 563-0587
Mailing address
3253 BRIAR HILL RD, HARTLAND, MI 48353-2402
(248) 563-0567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801061284
MI
Other
Enumeration date
02/26/2009
Last updated
09/10/2009
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