Individual
MRS. JILLIAN N PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, MLADC
Contact information
Practice address
10 FERRY ST STE 313, CONCORD, NH 03301-5004
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2431
NH
Other
Enumeration date
06/04/2015
Last updated
10/25/2024
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