Antoinette Peterson

NPI 1194050914 - Social Worker - 1041C0700X

NPI Details
NPI 1194050914
Enumeration Date 10/13/2009
Last Updated 12/09/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ANTOINETTE ANTOINETTE
Position OWNER
Phone (248) 563-0587
Fax
Practice Location
147 N MILFORD RD
SUITE 201A
HIGHLAND MI, 48357-4500, US
Phone (248) 563-0587
Fax
Business Location
3253 BRIAR HILL RD
HARTLAND MI, 48353-2402, US
Phone (248) 563-0587
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801061284
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According to our database, Antoinette Peterson NPI is 1194050914, taxonomy code is 1041C0700X and license number is 6801061284, license state is located at Michigan. Antoinette Peterson physically located at 147 N Milford Rd, Highland MI, 48357-4500. NPI Number 1033115704 has the healthcare provider type.

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1194050914 NPI number is provided on an as is basis without warranty of any kind. 1194050914 is maintained by the National Plan & Provider Enumeration System. The contents of Antoinette Peterson are for informational purposes only.