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Individual

MRS. JESSICA D PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3005A CHINABERRY DR, COLUMBIA, MO 65201-3550
(573) 874-8818
(573) 874-8818
Mailing address
2118 MACE CT, COLUMBIA, MO 65201-7659
(573) 823-0602

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022001054
MO

Other

Enumeration date
05/28/2022
Last updated
06/30/2025
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