NPI 1376051896

Dana L Petersen, LICSW

Practitioner Clinical Social Worker Springfield, VT

Practice location

Address: 390 River St, Springfield, VT 05156-2226
Phone: (802) 886-4500
Fax: (802) 886-4520

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0120793 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1376051896
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2018
Record last updated: 18 Jan 2018

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.