Individual
SARAH ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
Mailing address
320 S WALNUT ST., APPLETON, WI 54911-5900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130360
WI
1041C0700X
Clinical Social Worker
Primary
9606
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087740
—
WI
Enumeration date
01/24/2019
Last updated
03/10/2021
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