Individual
JESSE MARIE PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
235 E 9TH AVE, ANCHORAGE, AK 99501-7501
(907) 301-9201
Mailing address
209 CHERRY ST, MILFORD, CT 06460-3501
(203) 874-5437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146498
AK
Other
Enumeration date
06/12/2019
Last updated
12/21/2021
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