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Individual
PETER STERRETT
Active
Individual
PETER STERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904002496
VA
1041C0700X
Clinical Social Worker
Primary
C005505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008912793
—
VA
01
—
776769000
MAGELLAN HEALTH SERVICES
VA
01
—
9374511
PHCS
VA
Enumeration date
06/01/2005
Last updated
07/08/2007
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