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1003577164
LISA S PETERSON
LAS CRUCES, NM
NPI
1003577164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: NM 394165)
Enumeration Date
2021-12-31
Last Update Date
2021-12-31
Business Address
LISA S PETERSON PhD
505 S MAIN ST STE 249
LAS CRUCES, NM 88001-1243
Phone number: 515-527-5884
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Mailing Address
LISA S PETERSON PhD
505 S MAIN ST STE 249
LAS CRUCES, NM 88001-1243
Phone number: 515-527-5884
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