MR. Lance Taylor Peterson, LISW

NPI #1205047057 in Lyndhurst, Ohio

Provider Information

NPI Number
1205047057
Entity Type
Individual
Name
MR. Lance Taylor Peterson, LISW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LISW
Enumeration Date
May 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1551 COMMODORE RD
State
Ohio
ZIP Code
44124-2825
Phone
(216) 544-4407

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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