KEVIN LEON PETERSEN

COLUMBIA, SC
NPI1356676290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Enumeration Date2009-10-09
Last Update Date2009-10-09
Business Address
Mr. KEVIN LEON PETERSEN Psy.D.
6439 GARNERS FERRY ROAD WJBD VA MEDICAL CENTER
COLUMBIA, SC 29209
Phone number: 803-776-4000
Mailing Address
Mr. KEVIN LEON PETERSEN Psy.D.
115 RED COAT LN
COLUMBIA, SC 29223-2827
Phone number: 602-790-5900
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