Kailey Peterson, MSW, CAPSW, SAC-IT

NPI #1154075836 in Madison, Wisconsin

Provider Information

NPI Number: 1154075836
Entity Type: Individual
Name: Kailey Peterson, MSW, CAPSW, SAC-IT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, CAPSW, SAC-IT
Enumeration Date: Feb 10, 2022
Last Updated: Feb 10, 2022

Practice Location

Address: 1409 EMIL ST
City: Madison
State: Wisconsin
ZIP Code: 53713-2311
Phone: (608) 421-3406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X	Primary

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