LACEY K PETERSEN

CHEYENNE, WY
NPI1144595323
Former NameLACEY HARPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW-1046)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CO  CSW-1942)
Enumeration Date2012-03-20
Last Update Date2017-09-01
Business Address
-- LACEY K PETERSEN LCSW
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 307-632-9362
Mailing Address
-- LACEY K PETERSEN LCSW
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 307-632-9362