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1053902254
TERRESHA Y PETEN
PHOENIX, AZ
NPI
1053902254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-30
Last Update Date
2021-01-30
Business Address
Miss TERRESHA Y PETEN
2444 W BLOCH RD
PHOENIX, AZ 85041-2930
Phone number: 779-248-1040
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Mailing Address
Miss TERRESHA Y PETEN
4915 W LYNNE LN
LAVEEN, AZ 85339-4240
Phone number: 779-248-1040
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