MICHELLE PETERSON

COLUMBIA, SC
NPI1992146427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: SC  1271)
Enumeration Date2013-07-12
Last Update Date2013-07-12
Business Address
-- MICHELLE PETERSON Ph.D.
1816 BULL ST
COLUMBIA, SC 29201-2506
Phone number: 803-422-0017
Mailing Address
-- MICHELLE PETERSON Ph.D.
943 MONTAGUE RD
COLUMBIA, SC 29209-1015
Phone number: 803-629-8632
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