MRS. Kathryn Louise Peterson, LCSW

NPI #1003856634 in Flagstaff, Arizona

Provider Information

NPI Number: 1003856634
Entity Type: Individual
Name: MRS. Kathryn Louise Peterson, LCSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 115 E BIRCH AVE
City: Flagstaff
State: Arizona
ZIP Code: 86001-4609
Phone: (928) 213-0068

Specialties & Taxonomy Codes

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

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