Individual
PEBBLES L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
926 WILLARD DR STE 136, GREEN BAY, WI 54304-5296
(920) 461-5850
Mailing address
926 WILLARD DR STE 136, GREEN BAY, WI 54304-5296
(920) 461-5850
(888) 449-6342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131777
WI
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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