STACEY LYNN PETERSON

TAMPA, FL
NPI1538326244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301010935)
Enumeration Date2008-05-20
Last Update Date2017-11-20
Business Address
Ms. STACEY LYNN PETERSON MS
10909 MEMORIAL HWY
TAMPA, FL 33615-2511
Phone number: 813-855-4435
Mailing Address
Ms. STACEY LYNN PETERSON MS
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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