Individual
JANESSA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
(608) 663-0763
Mailing address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
(608) 663-0763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134455-121
WI
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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