Individual
MS. LINDA CARTER PETTERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5900 MONONA DR, SUITE 100, MONONA, WI 53716-3554
(608) 663-0763
(608) 663-0765
Mailing address
5900 MONONA DR, SUITE 100, MONONA, WI 53716-3554
(608) 663-0763
(608) 663-0765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2547-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39533200
—
WI
Enumeration date
01/04/2007
Last updated
05/08/2014
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