Individual
SHANNON E PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 COURT AVE STE 241, DES MOINES, IA 50309-2282
(515) 901-2974
(308) 398-6051
Mailing address
309 COURT AVE STE 241, DES MOINES, IA 50309-2282
(515) 901-2974
(515) 875-4817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112347
IA
Other
Enumeration date
08/14/2020
Last updated
12/14/2022
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