Individual
MRS. DIANE ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
809 WILLIAM ST, SUITE B, FREDERICKSBURG, VA 22401-4758
(540) 361-1556
(540) 361-1557
Mailing address
809 WILLIAM ST, SUITE B, FREDERICKSBURG, VA 22401-4758
(540) 361-1556
(540) 361-1557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001528
VA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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