Individual
MS. AMY DEVANNEY PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3251 LOWELL BLVD APT 416, DENVER, CO 80211-3282
(917) 943-0849
Mailing address
3251 LOWELL BLVD APT 416, DENVER, CO 80211-3282
(917) 943-0849
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
095411
NY
1041C0700X
Clinical Social Worker
Primary
088368
NY
Other
Enumeration date
11/30/2018
Last updated
08/19/2024
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