Individual
MRS. SAMANTHA PATRICIA PETERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
176 GIBSON AVE, WHITE PLAINS, NY 10607-2049
(914) 964-5496
(914) 423-6128
Mailing address
176 GIBSON AVE, WHITE PLAINS, NY 10607-2049
(917) 202-1694
(914) 423-6128
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
0704407-1
NY
Other
Enumeration date
11/21/2008
Last updated
06/12/2012
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