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1124738141
WAVERLY RAE PETERSON
ROUND ROCK, TX
NPI
1124738141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 104040)
Enumeration Date
2022-11-30
Last Update Date
2023-09-13
Business Address
WAVERLY RAE PETERSON LMSW
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665-1592
Phone number: 512-862-0687
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Mailing Address
WAVERLY RAE PETERSON LMSW
1812 CANTINA SKY DR
LEANDER, TX 78641-3707
Phone number: 512-484-2086
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