MS. Faye Ruth Petersen, MSW LISW

NPI #1780994962 in Urbandale, Iowa

Provider Information

NPI Number: 1780994962
Entity Type: Individual
Name: MS. Faye Ruth Petersen, MSW LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW LISW
Enumeration Date: Oct 20, 2010
Last Updated: Oct 20, 2010

Practice Location

Address: 4126 PATRICIA DR
City: Urbandale
State: Iowa
ZIP Code: 50322-1303
Phone: (515) 360-7446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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