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1164633632
DAVID PETERSEN
COLLEGE PARK, MD
NPI
1164633632
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Other Name
DAVID A. PETERSEN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD 03772)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Mr. DAVID PETERSEN Ph.D.
UNIVERSITY OF MARYLAND 1209 SHOEMAKER BUILDING
COLLEGE PARK, MD 20742-0001
Phone number: 301-314-9792
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Mailing Address
Mr. DAVID PETERSEN Ph.D.
14724 LOCUSTWOOD LN
SILVER SPRING, MD 20905-6424
Phone number: 301-388-0650
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