Search › Washington › 1041C0700X
Robert Peterson, LICSW
NPI 1922336684 · on the registry since 2009 · sole proprietor
Practice
- Address
- 40647 Lake Rd
Loon Lake, WA 99148 - Phone
- (509) 939-5515
Additional practice sites
- 200 Center St, Moriarty, NM
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- WA, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-09
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 Washington