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1376051896
DANA L PETERSEN
SPRINGFIELD, VT
NPI
1376051896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VT 089.0120793)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
DANA L PETERSEN LICSW
390 RIVER ST
SPRINGFIELD, VT 05156-2226
Phone number: 802-886-4500
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Mailing Address
DANA L PETERSEN LICSW
390 RIVER ST
SPRINGFIELD, VT 05156-2226
Phone number: 802-886-4500
Copy
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