Individual
ALICIA CHARLOTTE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096400
NY
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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