RONALD MARSHALL PETERSON CSW

PARK PLACE COUNSELING AND ASSOCIATE PLC

Dr RONALD MARSHALL PETERSON CSW is a male medical professional, specializing in Clinical Social Worker. He graduated in 2000.

Contact

PARK PLACE COUNSELING AND ASSOCIATE PLC

157 S KALAMAZOO MALL PLAZA
SUITE 250
KALAMAZOO
MI
490074828

Tel: 2693831440

RONALD MARSHALL PETERSON CSW Information

Npi 1891875316
Pac Id 8325009335
Professional Enrollment Id I20041022000831
Last Name PETERSON
First Name RONALD
Middle Name MARSHALL
Suffix
Gender M
Credential CSW
Medical School Name OTHER
Graduation Year 2000
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PARK PLACE COUNSELING AND ASSOCIATE PLC
Group Practice Pac Id 2466531082
Number Of Group Practice Members 2
Line 1 Street Address 157 S KALAMAZOO MALL PLAZA
Line 2 Street Address SUITE 250
Marker Of Address Line 2 Suppression
City KALAMAZOO
State MI
Zip Code 490074828
Phone Number 2693831440
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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