DAWN PETERSEN

KENOSHA, WI
NPI1093252199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  16091-132)
Enumeration Date2017-01-26
Last Update Date2017-01-26
Business Address
DAWN PETERSEN CSAC
2108-63 STREET
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Mailing Address
DAWN PETERSEN CSAC
2108-63 STREET
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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