Search › Wisconsin › 1041C0700X
Jane Petersen, LCSW
NPI 1588759724 · on the registry since 2006
Practice
- Address
- 6502 Grand Teton Plaza
Suite 203
Madison, WI 53719 - Phone
- (608) 827-7220
- Fax
- (608) 827-7223
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin