Individual
MRS. JAMIE LYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 ANSELMO DR, RENO, NV 89523-8989
(775) 247-7866
Mailing address
539 W TAYLOR ST, RENO, NV 89509-1921
(775) 247-7866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11895-C
NV
Other
Enumeration date
04/26/2016
Last updated
02/05/2025
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