Individual
CAROL A PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICCE, CD(DONA)
Contact information
Practice address
2465 CLARK RD, ERIE, PA 16510-4411
(814) 899-7722
Mailing address
2465 CLARK RD, ERIE, PA 16510-4411
(814) 899-7722
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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