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1104983782
MAUDIE ALICE PETERSON
SALEM, OR
NPI
1104983782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR CO224)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Ms. MAUDIE ALICE PETERSON MS,LPC
3884 COMMERCIAL ST SE # 203
SALEM, OR 97302-3835
Phone number: 503-362-7024
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Mailing Address
Ms. MAUDIE ALICE PETERSON MS,LPC
PO BOX 4665
SALEM, OR 97302-8665
Phone number: 503-581-0307
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