Individual
CHRISTINE IRENE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMSW
Contact information
Practice address
209 E WASHINGTON AVE STE 330-C, JACKSON, MI 49201-2393
(517) 748-7075
(517) 748-7075
Mailing address
209 E WASHINGTON AVE STE 330-C, JACKSON, MI 49201-2393
(517) 262-9178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110663
MI
Other
Enumeration date
08/11/2021
Last updated
01/07/2025
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