Individual
BRAD EDWARD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
Mailing address
1008 E FREDERICK ST, GAFFNEY, SC 29340-3856
(864) 497-3766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17903
SC
Other
Enumeration date
10/12/2016
Last updated
06/04/2025
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