Individual
MRS. DEBRA SUSAN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.ED.
Contact information
Practice address
500 7TH AVE S, DEPT. 7470, ST PETERSBURG, FL 33701-4820
(727) 767-4403
(727) 767-4715
Mailing address
2133 42ND AVE N, ST PETERSBURG, FL 33714-4128
(727) 488-6465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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