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Individual

ANN M PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
209 PARK STREET, CITIZEN ADVOCATES, INC., MALONE, NY 12953
(518) 483-3261
(518) 483-3383
Mailing address
49 MORTON ST, MALONE, NY 12953-1614
(518) 483-2880
(518) 483-5356

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R039000-1
NY

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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