Mr. Kenneth Darryl Peters Sr.
Mr. Kenneth Darryl Peters Sr. is a Clinical Social Worker in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
2911 Sleepy Hollow DrStockton, CA 95209-1144
Phone: (209) 475-0199
Fax: (916) 327-6017
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1740502160 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2010 |
| Last updated in NPPES | February 26, 2010 |
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