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1104229806
KRISTINA PETERSEN
BULLHEAD CITY, AZ
NPI
1104229806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ 13439)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
-- KRISTINA PETERSEN
2580 HWAY 95 # 1250
BULLHEAD CITY, AZ 86442-7491
Phone number: 928-763-7776
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Mailing Address
-- KRISTINA PETERSEN
3450 N 3RD ST
PHOENIX, AZ 85012-2331
Phone number: 602-257-9339
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