Individual
DELANEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N WEBB AVE, REEDSBURG, WI 53959-1149
(608) 524-5151
(608) 524-5353
Mailing address
PO BOX 301, PORTAGE, WI 53901-0301
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184265878
—
WI
Enumeration date
10/03/2019
Last updated
10/28/2019
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