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1063635563
JERALEEN M. PETERSON
RANCHO CUCAMONGA, CA
NPI
1063635563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 28561)
Enumeration Date
2007-04-11
Last Update Date
2018-12-17
Business Address
JERALEEN M. PETERSON LCSW
10601 CIVIC CENTER DR STE 100L
RANCHO CUCAMONGA, CA 91730-3878
Phone number: 909-291-9349
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Mailing Address
JERALEEN M. PETERSON LCSW
PO BOX 4571
RANCHO CUCAMONGA, CA 91729-4571
Phone number: 909-291-9349
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