Individual
MRS. ANDREA J PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 513-3495
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9321
(304) 623-5661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00944565
WV
1041C0700X
Clinical Social Worker
Primary
DP00944565
WV
Other
Enumeration date
06/25/2019
Last updated
03/30/2025
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