Stephanie Petersen
Stephanie Petersen is a Clinical Social Worker in Jefferson City, Missouri. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5723 Bridlespur LnJefferson City, MO 65109-5372
Phone: (248) 761-5359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1639705676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2020 |
| Last updated in NPPES | November 19, 2021 |
| Certification date | November 19, 2021 |
| Mailing address | 5723 Bridlespur Ln, Jefferson City, MO 65109-5372 |
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