Individual
MELISSA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
400 HUNNEWELL ST STE 6R, NEEDHAM, MA 02494-1360
(508) 737-7093
Mailing address
598 E 2ND ST, SOUTH BOSTON, MA 02127-1513
(508) 737-7093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118493
MA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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