Individual
MR. TERRY LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1601 S SHEPHERD DR APT 115, HOUSTON, TX 77019-3534
(713) 927-9892
(281) 442-4904
Mailing address
1601 S SHEPHERD DR APT 115, HOUSTON, TX 77019-3534
(713) 927-9892
(281) 442-4904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
52185
TX
Other
Enumeration date
11/05/2008
Last updated
07/22/2014
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