Individual
AUDREY NICOLE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
100 RIVER PLACE DR STE 250, DETROIT, MI 48207-5402
(313) 871-1805
Mailing address
2075 20TH ST, WYANDOTTE, MI 48192-3833
(734) 775-6450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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