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1215301205
KRISTIN ANN PETERSON
MCHENRY, IL
NPI
1215301205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.010642)
Enumeration Date
2015-11-14
Last Update Date
2015-11-14
Business Address
-- KRISTIN ANN PETERSON MA LPC
618 S IL ROUTE 31 SUITE 2
MCHENRY, IL 60050-8273
Phone number: 815-344-9443
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Mailing Address
-- KRISTIN ANN PETERSON MA LPC
11715 246TH CT
TREVOR, WI 53179-9229
Phone number: 262-298-5335
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