MICHAEL TERRILL PETERSON

FALLS CHURCH, VA
NPI1972852978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  1490164)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2012-09-05
Last Update Date2023-04-17
Business Address
MICHAEL TERRILL PETERSON LCSW
2020 PEACH ORCHARD DR APT 31
FALLS CHURCH, VA 22043-2048
Phone number: 217-621-1331
Mailing Address
MICHAEL TERRILL PETERSON LCSW
2020 PEACH ORCHARD DR APT 31
FALLS CHURCH, VA 22043-2048
Phone number: 217-621-1331
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