MRS. Lady Marie Peterson, LMSW

NPI #1215567243 in NY, New York

Provider Information

NPI Number: 1215567243
Entity Type: Individual
Name: MRS. Lady Marie Peterson, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jan 17, 2020
Last Updated: Jan 17, 2020

Practice Location

Address: 1 GUSTAVE L. LEVY PLACE, NEW YORK
City: NY
State: New York
ZIP Code: 10029
Phone: (212) 731-7968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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