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1457917627
SCOTT JEFFREY PETERSON
GRAND RAPIDS, MI
NPI
1457917627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801118131)
Enumeration Date
2019-05-14
Last Update Date
2024-04-22
Business Address
SCOTT JEFFREY PETERSON
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
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Mailing Address
SCOTT JEFFREY PETERSON
1638 ROSE PKWY SE
GRAND RAPIDS, MI 49506-5247
Phone number: 616-581-9907
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