Dana L Petersen, LICSW
NPI #1376051896 in Springfield, Vermont
Provider Information
- NPI Number
- 1376051896
- Entity Type
- Individual
- Name
- Dana L Petersen, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 18, 2018
- Last Updated
- Jan 18, 2018
Practice Location
- Address
- 390 RIVER ST
- City
- Springfield
- State
- Vermont
- ZIP Code
- 05156-2226
- Phone
- (802) 886-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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