Individual
MRS. RACHEL APRIL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
82 AMBER LN, MCMINNVILLE, TN 37110-5357
(931) 224-6684
Mailing address
82 AMBER LN, MCMINNVILLE, TN 37110-5357
(931) 224-6684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005486
TN
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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