Organization
CHRISTINE IRENE PETERSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE IRENE PETERSON LCMSW (OWNER)
(517) 262-9178
Entity
Organization
Contact information
Practice address
209 E WASHINGTON AVE STE 330-C, JACKSON, MI 49201-2393
(517) 262-9178
(517) 748-7188
Mailing address
209 E WASHINGTON AVE STE 330-C, JACKSON, MI 49201-2393
(517) 262-9178
(517) 748-7188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
01/07/2025
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