Individual
MRS. DIANE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9352 EWERS DR, SAINT LOUIS, MO 63126-2616
(314) 223-2244
(314) 722-3515
Mailing address
9352 EWERS DR, SAINT LOUIS, MO 63126-2616
(314) 223-2244
(314) 722-3515
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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