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Individual
MS. ELIZABETH MORRISON PETEGORSKY
Active
Individual
MS. ELIZABETH MORRISON PETEGORSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW CEAP LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1135
MA
1041C0700X
Clinical Social Worker
Primary
1015429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35392
HEALTH NEW ENGLAND
—
01
—
56264
CIGNA HEALTH CARE
—
01
—
P04900
BLUE CROSS BLUE SHIELD
MA
01
—
P04900
BCBS OUT OF STATE
—
Enumeration date
04/25/2006
Last updated
10/23/2012
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