MRS. Kylee Ayleen Petersen, HUMAN SERVICES
NPI #1376033340 in Ukiah, California
Provider Information
- NPI Number
- 1376033340
- Entity Type
- Individual
- Name
- MRS. Kylee Ayleen Petersen, HUMAN SERVICES
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- HUMAN SERVICES
- Enumeration Date
- May 15, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 148 CLARA AVE
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-4002
- Phone
- (707) 462-1932
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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