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Tamia Tonie Peterson

Case Manager/Care Coordinator in Livonia, MI. Individual provider (NPI-1).

NPI number1164056867
StatusActive
Last updated in NPPESMar 3, 2020

Details

NPI
1164056867
Entity type
Individual (NPI-1)
Name
Tamia Tonie Peterson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 3, 2020
Certification date
Mar 3, 2020
Last updated
Mar 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

37450 Schoolcraft Rd Ste 110
Livonia, MI 48150-1000

Phone 734-458-4611

Mailing address

37450 Schoolcraft Rd Ste 110
Livonia, MI 48150-1000

Phone 734-458-4611

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