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Individual

MRS. SHAYLA TRAMAINE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
286 CLEAR SKY CT STE A, CLARKSVILLE, TN 37043-8919
(931) 820-1021
(931) 820-1031
Mailing address
286 CLEAR SKY CT STE A, CLARKSVILLE, TN 37043-8919
(931) 820-1021
(931) 820-1031

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW11763
FL
1041C0700X
Clinical Social Worker
Primary
SW5975
TN

Other

Enumeration date
04/17/2014
Last updated
08/19/2014
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