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1225679814
ERIC N PETERSEN
SOUTH BURLINGTON, VT
NPI
1225679814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: VT 047.0133672)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
ERIC N PETERSEN MA
1233 SHELBURNE RD STE C4
SOUTH BURLINGTON, VT 05403-7780
Phone number: 802-392-0405
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Mailing Address
ERIC N PETERSEN MA
1233 SHELBURNE RD STE C4
SOUTH BURLINGTON, VT 05403-7780
Phone number: 802-392-0405
Copy
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