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1053926766
MARY PETERSON
SEBASTOPOL, CA
NPI
1053926766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW94291)
Enumeration Date
2020-09-10
Last Update Date
2023-11-27
Business Address
MARY PETERSON ASW
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-634-9050
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Mailing Address
MARY PETERSON ASW
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-634-9050
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