Individual
KARI LYNN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2702 CUNNINGHAM AVE STE A, JOPLIN, MO 64804-1593
(417) 782-1910
(417) 782-1844
Mailing address
2702 CUNNINGHAM AVE STE A, JOPLIN, MO 64804-1593
(417) 782-1910
(417) 782-1844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/17/2018
Last updated
10/24/2019
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