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Organization

TEAMWORK, LLC

Active
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Organization

TEAMWORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID WAYNE PETERSON ED.D.; L.C.S.W. (MANAGER)
(407) 252-5418
Entity
Organization

Contact information

Practice address
237 LOOKOUT PL, MAITLAND, FL 32751-8433
(407) 539-2863
(407) 862-5059
Mailing address
237 LOOKOUT PL, MAITLAND, FL 32751-8433
(407) 539-2863
(407) 862-5059

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
SS409
FL
103TS0200X
School Psychologist
SS775
FL
1041C0700X
Clinical Social Worker
Primary
SW2881
FL

Other

Enumeration date
02/12/2008
Last updated
05/05/2008
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