Individual
ANNA L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
120 W CHURCH ST, FREDERICK, MD 21701-7800
(301) 360-9939
Mailing address
120 W CHURCH ST, FREDERICK, MD 21701-7800
(301) 360-9939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10807
MD
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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