Individual
JEFFREY M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 780-3387
Mailing address
480 S ROGERS RD, OLATHE, KS 66062-1706
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 6247
KS
1041C0700X
Clinical Social Worker
Primary
3958
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845536
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/11/2006
Last updated
03/25/2013
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