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Individual

MRS. GIAWANNA PETERSON-ROCHON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
26520 GRAND RIVER AVE, SUITE 121, REDFORD, MI 48240-1506
(313) 533-5652
(313) 533-5644
Mailing address
26520 GRAND RIVER AVE, SUITE 121, REDFORD, MI 48240-1506
(313) 533-5652
(313) 533-5644

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801083169
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0896890
BCBS
Enumeration date
05/29/2008
Last updated
02/18/2010
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