Individual
AMELIA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD-L
Contact information
Practice address
7565 DANNAHER DR, POWELL, TN 37849-4029
(865) 859-8000
Mailing address
2519 JEFFERSON AVE, KNOXVILLE, TN 37914-5229
(865) 274-1402
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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