LEWIS DALE PETERSON

SAN LUIS OBISPO, CA
NPI1265723092
Other NameSCOTT PETERSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  64563)
Enumeration Date2011-04-27
Last Update Date2011-04-27
Business Address
Mr. LEWIS DALE PETERSON
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4286
Mailing Address
Mr. LEWIS DALE PETERSON
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number:
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