Individual
MRS. THERESE MARIE PETZOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1224 VENABLE AVE, OWENSBORO, KY 42301-2756
(270) 685-2203
(270) 689-6677
Mailing address
1224 VENABLE AVE, OWENSBORO, KY 42301-2756
(270) 685-2203
(270) 689-6677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7063
KY
1041C0700X
Clinical Social Worker
Primary
252907
KY
Other
Enumeration date
09/25/2014
Last updated
11/28/2017
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