Individual
CALLEEN PATRICIA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6858 SWINNEA RD BLDG STE 7, SOUTHAVEN, MS 38671-9493
(662) 536-6210
(662) 510-8820
Mailing address
6858 SWINNEA RD BLDG STE 7, SOUTHAVEN, MS 38671-9493
(662) 536-6210
(662) 510-8820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M11232
MS
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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