Individual
DEJUAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 ASPEN CLUB AVE, NORTH LAS VEGAS, NV 89081
(702) 743-2794
Mailing address
2825 ASPEN CLUB AVE, NORTH LAS VEGAS, NV 89081-6431
(702) 743-2794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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