Andrea Petersen, MSW

NPI #1093163743 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1093163743
Entity Type: Individual
Name: Andrea Petersen, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Jun 2, 2016
Last Updated: Jun 2, 2016

Practice Location

Address: 103 CAROLINE CT
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-1833
Phone: (608) 577-3879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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