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General NPI Number Information
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NPI Number | 1851956031
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Entity Type | Individual
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Provider Name | LINDSEY PETERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1228 ARELLA BLVD
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City | ANN ARBOR
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State | MI
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Zip | 48103-5216
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Country | US
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Telephone | 847-873-7904
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Fax |
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Provider Business Mailing Address
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Address Line | 1643 HOLMES RD UNIT 1044
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City | YPSILANTI
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State | MI
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Zip | 48198-4155
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Country | US
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Telephone | 323-545-6851
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 86539
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License Number State | CA
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