Individual
MRS. KATHIE PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1019 RT 132, HYANNIS, MA 02601
(508) 778-1839
Mailing address
182 SKONKNET RD, CENTERVILLE, MA 02632
(508) 775-2253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MA
1041S0200X
School Social Worker
Primary
106738
MA
Other
Enumeration date
05/25/2006
Last updated
09/11/2025
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