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1518705987
DESTINY PETERSON
LIVONIA, MI
NPI
1518705987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851118250)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
DESTINY PETERSON
16836 NEWBURGH RD
LIVONIA, MI 48154-1600
Phone number: 734-464-4220
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Mailing Address
DESTINY PETERSON
16836 NEWBURGH RD
LIVONIA, MI 48154-1600
Phone number:
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