Individual
DONITA SADE' PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMHP-S
Contact information
Practice address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 718-3371
Mailing address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 718-3371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
11/12/2024
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