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1215321187
FRITZ CHARLES PETERSON
BURLINGTON, WA
NPI
1215321187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO60521386)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
FRITZ CHARLES PETERSON CDP(T)
614 PETERSON RD
BURLINGTON, WA 98233-2606
Phone number: 360-757-0131
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Mailing Address
FRITZ CHARLES PETERSON CDP(T)
614 PETERSON RD
BURLINGTON, WA 98233-2606
Phone number: 360-757-0131
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