Jamie Peterson, LCSW
NPI #1831256577 in Tracy, California
Provider Information
- NPI Number
- 1831256577
- Entity Type
- Individual
- Name
- Jamie Peterson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Jun 3, 2014
Practice Location
- Address
- 1660 W LINNE RD
- Address 2
- STE J
- City
- Tracy
- State
- California
- ZIP Code
- 95377-8024
- Phone
- (209) 923-7083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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