Individual
CARRIE ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 418-7000
Mailing address
2231 W RACE AVE APT 2, CHICAGO, IL 60612-5481
(708) 692-5769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146014301
IL
235Z00000X
Speech-Language Pathologist
Primary
2022037819
MO
Other
Enumeration date
08/05/2018
Last updated
09/14/2023
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