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1154420651
THOMAS C PETERSEN
GLENDORA, CA
NPI
1154420651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 14862)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
DR. THOMAS C PETERSEN PH.D. MFT
157 N GLENDORA AVE STE 215
GLENDORA, CA 91741-3369
Phone number: 626-278-0677
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Mailing Address
DR. THOMAS C PETERSEN PH.D. MFT
417 W FOOTHILL BLVD # 452
GLENDORA, CA 91741-5301
Phone number: 626-278-0677
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