ELLEN PETERSEN, LISW
Social Worker
Active
Individual
NPI: 1710403001
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 087080 (IA) |
Frequently Asked Questions
NPI 1710403001 is the National Provider Identifier for ELLEN PETERSEN, LISW, a Social Worker provider located in Clive, IA. This NPI was enumerated on August 17, 2017.
ELLEN PETERSEN, LISW practices at 13137 UNIVERSITY AVE STE 140, Clive, IA 50325.
Quick Facts
- NPI
- 1710403001
- Type
- Individual
- Enumerated
- Aug 17, 2017
- Last Updated
- May 21, 2025
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