Individual
BARRY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
3304 E I-80 SERVICE RD, CHEYENNE, WY 82009-8781
(307) 633-8040
Mailing address
3304 E I-80 SERVICE RD, CHEYENNE, WY 82009-8781
(307) 633-8040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-115
WY
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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