Individual
MS. COURTNEY LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1775 DEMPSTER ST, SOCIAL WORK DEPT. - 8 SOUTH, PARK RIDGE, IL 60068-1143
(847) 723-7356
Mailing address
4537 N ARTESIAN AVE, CHICAGO, IL 60625-3003
(773) 343-7444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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