Individual
MR. DAVID A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Contact information
Practice address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 243-9800
Mailing address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 243-9800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009543
NC
Other
Enumeration date
12/13/2013
Last updated
03/08/2016
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