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1215180732
SANDRA PETERSON
OSHKOSH, WI
NPI
1215180732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 1363-132)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
SANDRA PETERSON
220 WASHINGTON AVE
OSHKOSH, WI 54901-5030
Phone number: 920-236-4600
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Mailing Address
SANDRA PETERSON
PO BOX 2187
OSHKOSH, WI 54903-2187
Phone number: 920-236-4600
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