Katherine Petersen, SHIFT SUPERVISOR

NPI #1861786469 in Benton, Arkansas

Provider Information

NPI Number
1861786469
Entity Type
Individual
Name
Katherine Petersen, SHIFT SUPERVISOR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
SHIFT SUPERVISOR
Enumeration Date
Jun 1, 2011
Last Updated
May 26, 2016

Practice Location

Address
1502 MARY KAY BLVD
City
Benton
ZIP Code
72015-8909
Phone
(501) 315-3344

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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