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Individual

ANGELLA MARCIA PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
150 SPARTAN DR, MAITLAND, FL 32751-3468
(407) 331-8002
Mailing address
5445 TILDENS GROVE BLVD, WINDERMERE, FL 34786-5710
(571) 265-5121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LC303165
DC
1041C0700X
Clinical Social Worker
Primary
LC303165
DC

Other

Enumeration date
03/10/2011
Last updated
10/07/2024
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