Kathy Peterson
NPI #1407601644 in Saint Ignace, Michigan
Provider Information
- NPI Number
- 1407601644
- Entity Type
- Individual
- Name
- Kathy Peterson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 22, 2024
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- PO BOX 307
- City
- Saint Ignace
- State
- Michigan
- ZIP Code
- 49781-0307
- Phone
- (906) 643-8774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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