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Individual

DESIREA PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/03/2026
Last updated
02/03/2026
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Product
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  • Eligibility checks
  • EDI platform