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Individual

COLETTE S PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, PIP

Contact information

Practice address
300 59TH ST, NORTHPORT, AL 35473-7445
(205) 535-0168
Mailing address
300 59TH ST, NORTHPORT, AL 35473-7445
(205) 535-0168

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2334C
AL

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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