Individual
CHRISTINE LEE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6734
(206) 257-6825
Mailing address
19203 121ST PL SE, KENT, WA 98031-0545
(206) 372-9040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60235824
WA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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