LANCE TAYLOR PETERSON

LYNDHURST, OH
NPI1205047057
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence:   I 0600042)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
MR. LANCE TAYLOR PETERSON LISW
1551 COMMODORE RD
LYNDHURST, OH 44124-2825
Phone number: 216-544-4407
Mailing Address
MR. LANCE TAYLOR PETERSON LISW
1551 COMMODORE RD
LYNDHURST, OH 44124-2825
Phone number: 216-544-4407
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