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1225484850
AMANTHA H. PETERSON
SPRINGFIELD, VA
NPI
1225484850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904008146)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
-- AMANTHA H. PETERSON
8136 OLD KEENE MILL RD A-302
SPRINGFIELD, VA 22152-1850
Phone number: 703-913-8563
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Mailing Address
-- AMANTHA H. PETERSON
8136 OLD KEENE MILL RD A-302
SPRINGFIELD, VA 22152-1850
Phone number: 703-913-8563
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