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1003856634
KATHRYN LOUISE PETERSON
FLAGSTAFF, AZ
NPI
1003856634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-4048)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
Mrs. KATHRYN LOUISE PETERSON LCSW
115 E BIRCH AVE
FLAGSTAFF, AZ 86001-4609
Phone number: 928-213-0068
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Mailing Address
Mrs. KATHRYN LOUISE PETERSON LCSW
115 E BIRCH AVE
FLAGSTAFF, AZ 86001-4609
Phone number: 928-213-0068
Copy
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