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1063693299
THOMAS JAMES PETERSON
RIVERSIDE, CA
NPI
1063693299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS13721)
Enumeration Date
2007-11-15
Last Update Date
2011-03-24
Business Address
-- THOMAS JAMES PETERSON LCSW
3190 CHICAGO AVE
RIVERSIDE, CA 92507-3448
Phone number: 951-341-6440
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Mailing Address
-- THOMAS JAMES PETERSON LCSW
PO BOX 1405
RIVERSIDE, CA 92502-1405
Phone number: 951-341-6440
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