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1104937911
ANNA LOUISE PETERSON
MISSOULA, MT
NPI
1104937911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MT 980)
Enumeration Date
2006-08-31
Last Update Date
2016-07-01
Business Address
Ms. ANNA LOUISE PETERSON Ed.D, LCPC
129 WEST KENT
MISSOULA, MT 59801
Phone number: 406-531-0659
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Mailing Address
Ms. ANNA LOUISE PETERSON Ed.D, LCPC
402 EAST BECKWITH AVE.
MISSOULA, MT 59801
Phone number: 406-531-0659
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