Individual
CAITLIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 S SPRUCE ST, KENAI, AK 99611-7939
(907) 283-7635
(907) 283-9575
Mailing address
320 S SPRUCE ST, KENAI, AK 99611-7939
(907) 283-7635
(907) 283-9575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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