Individual
MRS. CAROLINE ANNE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 AVERY RD E, BELLEVUE, NE 68005-4617
(402) 293-4467
Mailing address
2107 AVERY RD E, BELLEVUE, NE 68005-4617
(402) 293-4467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013009812
NE
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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