Individual
COURTNEY L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 N COMMERCIAL ST, NEENAH, WI 54956-2665
(920) 725-1230
Mailing address
N984 ALEXANDRA WAY, GREENVILLE, WI 54942-2304
(920) 770-2090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7607-M
AR
1041C0700X
Clinical Social Worker
Primary
8793-123
WI
Other
Enumeration date
08/02/2010
Last updated
06/24/2025
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