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1124711973
THEODORE PETERSON
PISCATAWAY, NJ
NPI
1124711973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00955700)
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
Mr. THEODORE PETERSON LPC, NCC
1311 POWDERHORN PL # 1311
PISCATAWAY, NJ 08854-1489
Phone number: 201-774-3774
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Mailing Address
Mr. THEODORE PETERSON LPC, NCC
1311 POWDERHORN PL # 1311
PISCATAWAY, NJ 08854-1489
Phone number: 201-774-3774
Copy
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