Individual
DANIEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3565 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
Mailing address
3565 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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