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1033211883
GAYLE PETERSON
GRASS VALLEY, CA
NPI
1033211883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 7603)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
-- GAYLE PETERSON LCSW,PhD
19861 BUCK RIDGE RD
GRASS VALLEY, CA 95949-7027
Phone number: 530-346-2534
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Mailing Address
-- GAYLE PETERSON LCSW,PhD
19861 BUCK RIDGE RD
GRASS VALLEY, CA 95949-7027
Phone number: 530-346-2534
Copy
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