Individual
MRS. ANDREA M.H. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1127 N OAKLEY BLVD, 3RD FLOOR, CHICAGO, IL 60622-3507
(312) 770-3320
Mailing address
1127 N OAKLEY BLVD, 3RD FLOOR, CHICAGO, IL 60622-3507
(312) 770-3320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009195
IL
Other
Enumeration date
03/17/2007
Last updated
07/25/2011
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