Susan K. Peterson, LICSW
NPI #1013014349 in Seattle, Washington
Provider Information
- NPI Number
- 1013014349
- Entity Type
- Individual
- Name
- Susan K. Peterson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Sep 29, 2010
Practice Location
- Address
- 1513 25TH AVE
- City
- Seattle
- State
- Washington
- ZIP Code
- 98122-3017
- Phone
- (206) 328-5010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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