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1063661916
MARY ALICE PETERSEN
NEWCASTLE, WY
NPI
1063661916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY #SP-391)
Enumeration Date
2008-09-16
Last Update Date
2017-02-15
Business Address
Mrs. MARY ALICE PETERSEN MA, CCC-SLP
104 STAMPEDE ST
NEWCASTLE, WY 82701-3037
Phone number: 307-746-4560
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Mailing Address
Mrs. MARY ALICE PETERSEN MA, CCC-SLP
104 STAMPEDE ST
NEWCASTLE, WY 82701-3037
Phone number: 307-746-4560
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