Individual
JENNIFER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Mailing address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1800853
OH
104100000X
Social Worker
S1302385
OH
104100000X
Social Worker
—
—
Other
Enumeration date
06/03/2015
Last updated
11/15/2021
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