Individual
HAROLD LARS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1301 CENTER ST, DES MOINES, IA 50309-1004
(515) 243-5181
(515) 243-2760
Mailing address
945 19TH ST, DES MOINES, IA 50314-1117
(515) 241-0982
(515) 241-0993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008202
IA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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