Individual
ALYSIA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
817 FEDERAL ST, CAMDEN, NJ 08103-1539
(856) 583-2400
Mailing address
817 FEDERAL ST STE 300, CAMDEN, NJ 08103-1539
(856) 583-2496
(856) 583-2429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09047987
BIRTHDATE
—
Enumeration date
10/30/2017
Last updated
10/30/2017
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