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Individual

MICHELE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
28 W CHICAGO ST STE 3G, COLDWATER, MI 49036-1677
(517) 462-8662
Mailing address
28 W CHICAGO ST STE 3G, COLDWATER, MI 49036-1677
(517) 462-8662

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016223
MI

Other

Enumeration date
04/28/2015
Last updated
04/28/2015
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