Kelly Peters

NPI #1790041481 in Gillette, Wyoming

Provider Information

NPI Number: 1790041481
Entity Type: Individual
Name: Kelly Peters
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 6, 2012
Last Updated: Apr 6, 2012

Practice Location

Address: 501 S BURMA AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-3426
Phone: (307) 688-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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