Lee Mumford Peterson, LICSW

NPI #1700368941 in Dedham, Massachusetts

Provider Information

NPI Number: 1700368941
Entity Type: Individual
Name: Lee Mumford Peterson, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 14 OLD FARM RD
City: Dedham
State: Massachusetts
ZIP Code: 02026-4115
Phone: (973) 558-4951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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