Individual
AMY K PETERSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10702 W BURLEIGH ST, WAUWATOSA, WI 53222-3310
(414) 777-0740
(414) 777-0749
Mailing address
10702 W BURLEIGH ST, WAUWATOSA, WI 53222-3310
(414) 777-0740
(414) 777-0749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4667-125
WI
Other
Enumeration date
01/25/2011
Last updated
02/07/2017
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