Individual
VICKY PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8271
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1105
—
SC
Enumeration date
08/25/2006
Last updated
09/07/2021
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