Individual
MRS. SHAYLA TRAMAINE PETERSON
Active
Individual
MRS. SHAYLA TRAMAINE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
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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