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1033810288
TRACY PETERSON
BERKELEY, CA
NPI
1033810288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS15749)
Enumeration Date
2023-03-14
Last Update Date
2023-03-14
Business Address
TRACY PETERSON LCSW
925 THE ALAMEDA
BERKELEY, CA 94707-2310
Phone number: 510-599-2080
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Mailing Address
TRACY PETERSON LCSW
1 WILLOW LN
KENSINGTON, CA 94707-1233
Phone number: 510-599-2080
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