Danielle Nicole Peterson, LMSW-41574 Valid NPI
Individual provider · Clinical Social Worker · Rexburg, ID
- NPI
- 1265185615
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 41754 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-01-26
- Last updated
- 2022-01-26
Practice location
101 E Main St Ste 210
Rexburg, ID 83440-2017
(208) 357-3104