Individual
BRIANNA MAE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
Mailing address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
(712) 252-3157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082735
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082735
STATE OF IOWA BOARD OF SOCIAL WORK
IA
Enumeration date
09/15/2016
Last updated
11/19/2021
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