NPI 1003188897

Corene Peterson, LCSW

Practitioner Clinical Social Worker Idaho Falls, ID

Practice location

Address: 1565 E Lincoln Rd, Idaho Falls, ID 83401-2129
Phone: (208) 524-8996
Fax: (208) 524-1205

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-34038 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1003188897
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2012
Record last updated: 10 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.