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1053665182
HENRY SORON PETERSEN
SAN DIEGO, CA
NPI
1053665182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 24934)
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
Mr. HENRY SORON PETERSEN L.C.S.W.
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123-1583
Phone number: 858-279-1223
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Mailing Address
Mr. HENRY SORON PETERSEN L.C.S.W.
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123-1583
Phone number: 858-279-1223
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