Individual
MS. BETTY JOYCE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 N BEACH ST, FORT WORTH, TX 76111-7010
(817) 916-5204
(817) 916-4665
Mailing address
400 N BEACH ST, FORT WORTH, TX 76111-7010
(817) 916-5204
(817) 916-4665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
38358
TX
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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