Individual
MS. CASSIE MAUDE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
928 BROADWAY, SUITE 1206, NEW YORK, NY 10010-6008
(347) 228-3825
Mailing address
82 CLINTON AVE, #3, BROOKLYN, NY 11205-2321
(347) 228-3825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083364-1
NY
Other
Enumeration date
02/22/2012
Last updated
07/26/2015
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