Calleen Patricia Petersen, LMSW

NPI #1194545863 in Southaven, Mississippi

Provider Information

NPI Number: 1194545863
Entity Type: Individual
Name: Calleen Patricia Petersen, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 16, 2024
Last Updated: Oct 16, 2024

Practice Location

Address: 6858 SWINNEA RD BLDG STE 7
City: Southaven
State: Mississippi
ZIP Code: 38671-9493
Phone: (662) 536-6210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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