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Search › Michigan › Intellectual and/or Developmental Disabilities Residential Treatment Facility

Kathy Peterson

NPI 1407601644 · on the registry since 2024 · sole proprietor

Practice

Address
Po Box 307
Saint Ignace, MI 49781
Phone
(906) 643-8774
Fax
(906) 984-2028

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan