Individual
MRS. CARLA MILES PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 NORTHCREST DR, WACO, TX 76710-1042
(254) 772-2004
Mailing address
1500 NORTHCREST DR, WACO, TX 76710-1042
(254) 772-2004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27724
TX
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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