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Individual

KEISHA PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3909 NATIONAL DR STE 100, BURTONSVILLE, MD 20866-1192
(240) 755-8089
(202) 271-4444
Mailing address
3909 NATIONAL DR STE 100, BURTONSVILLE, MD 20866-1192
(240) 755-8089
(202) 271-4444

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18382
MD

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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