KIMBERLY DIANNE PETERSON

DES MOINES, IA
NPI1407384233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  06171)
Additional Taxonomies104100000X Social Worker
(Licence: IA  06171)
Enumeration Date2017-05-24
Last Update Date2024-12-27
Business Address
KIMBERLY DIANNE PETERSON LISW
6601 SW 9TH ST
DES MOINES, IA 50315-6138
Phone number: 515-643-8350
Mailing Address
KIMBERLY DIANNE PETERSON LISW
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-8350