JEAN B. PETERSON

STONINGTON, CT
NPI1295804193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  003735)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NY  R010111-1)
Enumeration Date2006-11-06
Last Update Date2012-01-25
Business Address
-- JEAN B. PETERSON LCSW
22 BAYVIEW AVE
STONINGTON, CT 06378-1142
Phone number: 860-536-4478
Mailing Address
-- JEAN B. PETERSON LCSW
6 GODFREY ST
MYSTIC, CT 06355-1702
Phone number: 860-536-4478