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1265185615
DANIELLE NICOLE PETERSON
REXBURG, ID
NPI
1265185615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID 41754)
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
DANIELLE NICOLE PETERSON LMSW-41574
101 E MAIN ST STE 210
REXBURG, ID 83440-2017
Phone number: 208-357-3104
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Mailing Address
DANIELLE NICOLE PETERSON LMSW-41574
159 N 4055 E
RIGBY, ID 83442-5300
Phone number: 443-603-2552
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