Individual
MR. NEAL AARON PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1315 W MAIN STREET, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801
Mailing address
PO BOX 364, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1680123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10056
DEON HEALTH INS
WI
01
—
1011421
PHYSICIANS PLUS INS
WI
01
—
166358
MHN INSURANCE
WI
01
—
39184249626
UNITY INSURANCE
WI
01
—
39184249627
UNITY INSURANCE
WI
05
—
39623200
—
WI
Enumeration date
08/03/2006
Last updated
07/08/2007
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