Individual
MS. PATRICIA JEAN PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5525 MEREDITH DR, DES MOINES, IA 50310-2334
(515) 251-4914
Mailing address
8859 NW 67TH CT, JOHNSTON, IA 50131-1900
(515) 251-4914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05924
IA
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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