Individual
CARRIE MAUREEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3076
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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