Individual
PAUL J PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCAIL WORK
Contact information
Practice address
102 SOUTHEND DR, DAYTON, NV 89403-7414
(775) 328-1298
Mailing address
102 SOUTHEND DR, DAYTON, NV 89403-7414
(775) 328-1298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00130-C
NV
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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