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1154983682
LISA MARIE PETERSON
SAN LUIS OBISPO, CA
NPI
1154983682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-04
Last Update Date
2020-08-26
Business Address
LISA MARIE PETERSON
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-503-0350
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Mailing Address
LISA MARIE PETERSON
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-503-0350
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