Individual
DEZHA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LLBSW
Contact information
Practice address
1402 S SAGINAW ST, FLINT, MI 48503-3705
(810) 257-3705
Mailing address
1402 S SAGINAW ST, FLINT, MI 48503-3705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
685209177
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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