Individual
CHANDRA NICOLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6363 DE ZAVALA RD, SAN ANTONIO, TX 78249-2103
(210) 399-4838
Mailing address
6363 DE ZAVALA RD STE 300, SAN ANTONIO, TX 78249-2104
(210) 399-4838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55071
TX
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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