Individual
MS. ENID HELENE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 S MAIN ST, SUITE 5, BRANFORD, CT 06405-3872
(203) 481-1031
Mailing address
303 EVERGREEN AVE, HAMDEN, CT 06518-2745
(203) 281-1854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003448
CT
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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