Individual
ANTHONY LOUIS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 913-3655
(918) 687-0976
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 913-3655
(918) 687-0976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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