Individual
MRS. CASEY ROSE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
37 OAK HILL TER, FELTON, DE 19943-5531
(603) 315-8044
Mailing address
37 OAK HILL TER, FELTON, DE 19943-5531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0001597
DE
Other
Enumeration date
11/20/2017
Last updated
11/01/2019
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