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1316012644
MARILYN LOUISE PETERSON
SACRAMENTO, CA
NPI
1316012644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 17118)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
Ms. MARILYN LOUISE PETERSON MFT
2015 21ST ST SUITE 303
SACRAMENTO, CA 95818-1752
Phone number: 916-451-1664
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Mailing Address
Ms. MARILYN LOUISE PETERSON MFT
34 STARLIT CIR
SACRAMENTO, CA 95831-1521
Phone number: 916-429-8595
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