Lisa Peterson, CSW INTERN

NPI #1144581653 in Ely, Nevada

Provider Information

NPI Number: 1144581653
Entity Type: Individual
Name: Lisa Peterson, CSW INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: CSW INTERN
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 1675 AVENUE F
City: Ely
State: Nevada
ZIP Code: 89301-3500
Phone: (775) 289-1671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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