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1245840040
MATHEW PETERS
SOUTH BEND, IN
NPI
1245840040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008869a)
Enumeration Date
2020-08-06
Last Update Date
2020-08-06
Business Address
MATHEW PETERS LCSW
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
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Mailing Address
MATHEW PETERS LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-7000
Phone number: 574-533-1234
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