Individual
MS. CYNTHIA B PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LISW
Contact information
Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Mailing address
905 MONTGOMERY ST, P.O. BOX 349, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06473
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06473
LISW
IA
Enumeration date
12/12/2006
Last updated
07/08/2007
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