Individual
DANA MICHELLE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.W.,Q.M.H.A.
Contact information
Practice address
969 HWY 99 NORTH, EUGENE, OR 97402
(541) 689-7156
(541) 285-0045
Mailing address
969 HWY 99 NORTH, EUGENE, OR 97402
(618) 632-9060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
03/14/2011
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