Most Relevant Information
Provider Data
| NPI Number: | 1003237124 |
| Provider Name: | JOSEPH PETERS MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | C005991 |
Most Important Dates
| Enumeration Date: | 12/16/2013 |
| Last Updated: | 12/16/2013 |
Provider Practice Location
407 KELLY RD
WILMINGTON
NC
284093155
Practice Location Phone/Fax
| Phone: | 9104092754 |
| Fax: |
Provider Mailing Location
407 KELLY RD
WILMINGTON
NC
284093155
Provider Mailing Phone/Fax
| Phone: | 9104092754 |
| Fax: |