Individual
MRS. CARRIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208
(414) 342-4560
(414) 342-5326
Mailing address
403 N GRAND AVE STE 101, WAUKESHA, WI 53186-4913
(262) 420-9088
(262) 458-4102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/06/2018
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