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Pamela C Peterson, LICSW

Social Worker, Clinical in Amherst, MA. Individual provider (NPI-1).

NPI number1124121256
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124121256
Entity type
Individual (NPI-1)
Name
Pamela C Peterson
Credential
LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 6, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical1032790MAYes

Practice location

48 N Pleasant St
Suite 302
Amherst, MA 01002-1738

Phone 413-253-9479

Mailing address

48 N Pleasant St
Suite 302
Amherst, MA 01002-1738

Phone 413-253-9479

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