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Individual

MS. EILEEN M. PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1105 CURTISS ST, DOWNERS GROVE, IL 60515-4694
(630) 324-8298
Mailing address
2132 N NORDICA AVE, CHICAGO, IL 60707-3231
(773) 988-4053

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IL

Other

Enumeration date
10/12/2006
Last updated
07/09/2007
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