MICHAEL WAYNE PETERSEN

SACRAMENTO, CA
NPI1346254935
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  20221)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
Mr. MICHAEL WAYNE PETERSEN LCSW
2750 SUTTERVILLE RD
SACRAMENTO, CA 95820-1024
Phone number: 916-290-8155
Mailing Address
Mr. MICHAEL WAYNE PETERSEN LCSW
1249 FARRAGUT CIR
DAVIS, CA 95616-6364
Phone number:
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