Individual
MS. VICTORIA L PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
116 MAIN STREET, MATAWAN, NJ 07747
(732) 290-9040
Mailing address
718 CAROL AVENUE, OAKHURST, NJ 07755
(732) 278-6339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06519600
NJ
1041S0200X
School Social Worker
1136800
NJ
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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