Individual
CHRISTINE ANDREA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LPSW
Contact information
Practice address
408 S MAIN ST STE B, ROCK SPRINGS, WY 82901-6247
(307) 374-4014
Mailing address
408 S MAIN ST STE B, ROCK SPRINGS, WY 82901-6247
(307) 374-4014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PCSW-1158
WY
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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