Individual
JENNIFER PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
103 ENTERPRISE DR, WARSAW, IN 46580-1204
(574) 268-0448
Mailing address
103 ENTERPRISE DR, WARSAW, IN 46580-1204
(574) 268-0448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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