MRS. Penny Jo Nichols-Peterson, LISW
NPI #1356647143 in Windsor Heights, Iowa
Provider Information
- NPI Number
- 1356647143
- Entity Type
- Individual
- Name
- MRS. Penny Jo Nichols-Peterson, LISW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Jan 27, 2011
- Last Updated
- Jan 12, 2015
Practice Location
- Address
- 6955 UNIVERSITY AVE
- City
- Windsor Heights
- State
- Iowa
- ZIP Code
- 50324-1540
- Phone
- (515) 802-7348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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