Individual
CHRISTIAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 MAIN ST, WORCESTER, MA 01603-1861
(508) 754-1141
Mailing address
357 GROVE ST APT 1R, WOONSOCKET, RI 02895-5304
(774) 239-4014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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