LAVON L PETERSEN

WAIPAHU, HI
NPI1013650365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  4815)
Enumeration Date2022-04-14
Last Update Date2022-04-24
Business Address
LAVON L PETERSEN LCSW
94-1018 HALEHAU ST
WAIPAHU, HI 96797-4767
Phone number: 808-829-1717
Mailing Address
LAVON L PETERSEN LCSW
94-1018 HALEHAU ST
WAIPAHU, HI 96797-4767
Phone number: 180-882-9171
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