Most Relevant Information
Provider Data
| NPI Number: | 1003393059 |
| Provider Name: | ELEANOR PETERSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 44SC04777800 |
Most Important Dates
| Enumeration Date: | 07/23/2018 |
| Last Updated: | 07/23/2018 |
Provider Practice Location
227 BENNER ST
HIGHLAND PARK
NJ
089042240
Practice Location Phone/Fax
| Phone: | 7322079112 |
| Fax: |
Provider Mailing Location
227 BENNER ST
HIGHLAND PARK
NJ
089042240
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |