Individual
TYCEE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1801 S EXTENSION RD, MESA, AZ 85210-5969
(480) 508-9052
Mailing address
1801 S EXTENSION RD, MESA, AZ 85210-5969
(480) 508-9052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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