Individual
ANNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 UNION ST, ROCKLAND, ME 04841-2739
(207) 701-4400
(207) 701-4486
Mailing address
12 UNION ST, ROCKLAND, ME 04841-2739
(207) 701-4400
(207) 701-4486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5487
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104000000
—
ME
Enumeration date
10/12/2006
Last updated
10/09/2008
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