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1154891612
CHRISTINE LEE PETERSON
BURIEN, WA
NPI
1154891612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60235824)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
CHRISTINE LEE PETERSON LICSW
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-257-6734
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Mailing Address
CHRISTINE LEE PETERSON LICSW
19203 121ST PL SE
KENT, WA 98031-0545
Phone number: 206-372-9040
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