PETER DOUGLAS NORDSTROM

TAVARES, FL
NPI1033180849
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  MH6961)
Enumeration Date2006-01-30
Last Update Date2007-07-08
Business Address
MR. PETER DOUGLAS NORDSTROM LMHC
114 ST CLAIR ABRAMS AVE
TAVARES, FL 32778
Phone number: 352-253-6300
Mailing Address
MR. PETER DOUGLAS NORDSTROM LMHC
4910 ABACO DR
TAVARES, FL 32778-4757
Phone number: 352-253-6300
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