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1023559861
BRANDY MICHELLE PETERSON
CENTRALIA, WA
NPI
1023559861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 6064270)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- BRANDY MICHELLE PETERSON
135 W. MAIN STEET
CENTRALIA, WA 98531
Phone number: 360-748-4339
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Mailing Address
-- BRANDY MICHELLE PETERSON
135 W. MAIN ST
CENTRALIA, WA 98531
Phone number:
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