Ellen Petersen, LISW

NPI #1710403001 in Clive, Iowa

Provider Information

NPI Number: 1710403001
Entity Type: Individual
Name: Ellen Petersen, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Aug 17, 2017
Last Updated: May 21, 2025

Practice Location

Address: 13137 UNIVERSITY AVE STE 140
City: Clive
State: Iowa
ZIP Code: 50325-8299
Phone: (515) 758-9606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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