Individual
ELISE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 CLAREMONT AVE, ARLINGTON, MA 02476-5812
(781) 648-6200
(781) 646-9106
Mailing address
18 CLAREMONT AVE, ARLINGTON, MA 02476-5812
(781) 648-6200
(781) 646-9106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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