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1124160262
WAYNE DOUGLAS PETERSON
RICHFIELD, UT
NPI
1124160262
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Professional Name
DOUGLAS PETERSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 3690346004)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Mr. WAYNE DOUGLAS PETERSON LPC
164 N MAIN ST (REAR)
RICHFIELD, UT 84701-2170
Phone number: 435-201-4481
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Mailing Address
Mr. WAYNE DOUGLAS PETERSON LPC
PO BOX 662
RICHFIELD, UT 84701-0662
Phone number: 435-201-4481
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