CORBY J PETERSEN

EAGLE RIVER, AK
NPI1225089840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AK  499)
Enumeration Date2006-05-16
Last Update Date2010-02-09
Business Address
-- CORBY J PETERSEN LCSW
13135 OLD GLENN HWY
EAGLE RIVER, AK 99577-7562
Phone number: 907-632-3403
Mailing Address
-- CORBY J PETERSEN LCSW
PO BOX 770925
EAGLE RIVER, AK 99577-0925
Phone number: 907-632-3403
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