Individual
HALEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
508 KENNEDY ST NW STE 300, WASHINGTON, DC 20011-3137
(203) 206-6646
Mailing address
3101 PORT ROYALE BLVD APT 1012, FORT LAUDERDALE, FL 33308-7819
(203) 206-6646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103892
TX
Other
Enumeration date
08/31/2021
Last updated
09/07/2021
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