Jessica Peterson LSW

NPI 1083043632 - Social Worker - 104100000X

NPI Details
NPI 1083043632
Gender Female
Enumeration Date 11/04/2013
Last Updated 11/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
5228 CYPRESS CT
SHELBYVILLE KY, 40065-7764, US
Phone (502) 640-9094
Fax (502) 647-2469
Business Location
5228 CYPRESS CT
SHELBYVILLE KY, 40065-7764, US
Phone (502) 640-9094
Fax (502) 647-2469
Toxanomy
Taxonomy Code 104100000X
License State Kentucky
License Number 3739
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According to our database, Mrs. Jessica Peterson LSW NPI is 1083043632, taxonomy code is 104100000X and license number is 3739, license state is located at Kentucky. Jessica Peterson LSW physically located at 5228 Cypress Ct, Shelbyville KY, 40065-7764. NPI Number Jessica Peterson LSW has the Individual type.

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1083043632 NPI number is provided on an as is basis without warranty of any kind. 1083043632 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Peterson LSW are for informational purposes only.