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1134136419
TRACY PETERSON
WAUSAU, WI
NPI
1134136419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3295-125)
Enumeration Date
2006-08-01
Last Update Date
2007-09-04
Business Address
-- TRACY PETERSON LPC
614 N 3RD AVE
WAUSAU, WI 54401-2913
Phone number: 715-848-3031
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Mailing Address
-- TRACY PETERSON LPC
614 N 3RD AVE
WAUSAU, WI 54401-2913
Phone number: 715-848-3031
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