Individual
BRETT PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4250 E FLORIAN AVE, BUILDING #1, MESA, AZ 85206-2797
(480) 844-1653
(480) 539-4979
Mailing address
924 N COUNTRY CLUB DR, BUILDING #1, MESA, AZ 85201-4108
(480) 969-3800
(480) 307-9771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW15582
AZ
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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