Individual
DARLA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSW
Contact information
Practice address
2020 TALLEY RD, LEESBURG, FL 34748-3426
(351) 315-7800
(352) 315-7587
Mailing address
6251 SE EARP RD, BELLEVIEW, FL 34420-3417
(352) 470-1228
(352) 315-7587
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PSW 965
FL
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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