Individual
KELLEY SIMONE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
330 N JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70119-5312
(504) 948-6880
(504) 948-6885
Mailing address
1828 VIRGINIAN COLONY AVE, LA PLACE, LA 70068-2842
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13250
LA
Other
Enumeration date
05/18/2015
Last updated
11/09/2015
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