Individual
MS. D. SARAH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
611 MAIN ST, SUITE F, EDMONDS, WA 98020-3096
(425) 771-5432
Mailing address
611 MAIN ST, SUITE F, EDMONDS, WA 98020-3096
(425) 771-5432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601-182-432-001-0001
UBI
WA
Enumeration date
01/23/2007
Last updated
02/04/2009
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