Individual
CAROL B. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8080 WARD PKWY, SUITE 211, KANSAS CITY, MO 64114-2020
(816) 361-3088
(816) 353-7703
Mailing address
7200 SYCAMORE AVENUE, KANSAS CITY, MO 64133-6265
(816) 353-7703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
825
MO
Other
Enumeration date
05/04/2007
Last updated
02/22/2012
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