Traci Lynn Peterson

NPI #1477245991 in Prineville, Oregon

Provider Information

NPI Number: 1477245991
Entity Type: Individual
Name: Traci Lynn Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: May 23, 2023
Last Updated: May 23, 2023

Practice Location

Address: 1059 NW MADRAS HWY
City: Prineville
State: Oregon
ZIP Code: 97754-1416
Phone: (541) 323-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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