Joan Cassilly Petersen, LCSW

NPI #1003925876 in St Louis, Missouri

Provider Information

NPI Number
1003925876
Entity Type
Individual
Name
Joan Cassilly Petersen, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 29, 2006
Last Updated
Sep 3, 2008

Practice Location

Address
PERSONAL POTENTIALS, INC.
Address 2
10000 WATSON RD #2L18
ZIP Code
63126
Phone
(314) 822-4727

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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