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1306296272
MELISSA ANN PETERSON
FORT LEONARD WOOD, MO
NPI
1306296272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 081440)
Enumeration Date
2016-06-21
Last Update Date
2022-08-22
Business Address
MELISSA ANN PETERSON LISW, LCSW
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0522
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Mailing Address
MELISSA ANN PETERSON LISW, LCSW
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0522
Copy
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