Individual
DAX PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 783-9676
Mailing address
44 MELBOURNE ST APT 3, PORTLAND, ME 04101-2855
(207) 766-1267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC20131
ME
Other
Enumeration date
01/07/2015
Last updated
04/11/2025
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