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1295182343
AMY PETERSON
MOUNT VERNON, WA
NPI
1295182343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP 60614932)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
AMY PETERSON CP60614932
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number: 360-848-8437
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Mailing Address
AMY PETERSON CP60614932
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number: 360-848-8437
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