Individual
JOSHUA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1423 S PARK ST, MADISON, WI 53715-2105
(608) 280-3170
Mailing address
25 KESSEL CT, MADISON, WI 53711-6227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
09/06/2016
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