Individual
ANDREA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
103 CAROLINE CT, BEAVER DAM, WI 53916-1833
(608) 577-3879
Mailing address
103 CAROLINE CT, BEAVER DAM, WI 53916-1833
(608) 577-3879
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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