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1154760627
AMANDA RUTH PETERSEN
BAKER CITY, OR
NPI
1154760627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
-- AMANDA RUTH PETERSEN MSW
2200 4TH ST
BAKER CITY, OR 97814-2615
Phone number: 541-523-3646
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Mailing Address
-- AMANDA RUTH PETERSEN MSW
42266 ROUEN RD
BAKER CITY, OR 97814-8103
Phone number: 541-523-3646
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