Individual
MS. DOROTHY ANNE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
80 RIVER RD, NEWCASTLE, ME 04553-3838
(207) 563-3206
Mailing address
PO BOX 87, NEWCASTLE, ME 04553-0087
(207) 563-3206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6160
ME
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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