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1154865590
DESTINY PETERSON
OAK PARK, MI
NPI
1154865590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301016731)
Enumeration Date
2016-12-05
Last Update Date
2022-07-21
Business Address
-- DESTINY PETERSON PhD
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237-1297
Phone number: 248-788-4300
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Mailing Address
-- DESTINY PETERSON PhD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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