Lara Jean Petersen
Lara Jean Petersen is a Clinical Social Worker in Princeton, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1916 N Main StPrinceton, IL 61356-9710
Phone: (815) 728-2943
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1558974576 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 28, 2020 |
| Last updated in NPPES | June 18, 2025 |
| Certification date | June 18, 2025 |
| Mailing address | 1916 N Main St, Princeton, IL 61356-9710 |
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