Individual
MS. VICTORIA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
119 LIVERMORE FALLS RD, FARMINGTON, ME 04938-6241
(207) 778-6591
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-7000
(207) 858-4772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ME
Other
Enumeration date
09/11/2013
Last updated
10/01/2021
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