Corene Peterson, LCSW

NPI #1003188897 in Idaho Falls, Idaho

Provider Information

NPI Number: 1003188897
Entity Type: Individual
Name: Corene Peterson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 8, 2012
Last Updated: Oct 10, 2014

Practice Location

Address: 1565 E LINCOLN RD
City: Idaho Falls
State: Idaho
ZIP Code: 83401-2129
Phone: (208) 524-8996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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