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1386314573
IVY LOUISE PETERSON EAST
EUGENE, OR
NPI
1386314573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-09-17
Last Update Date
2021-10-31
Business Address
IVY LOUISE PETERSON EAST
1195A CITY VIEW ST
EUGENE, OR 97402-3325
Phone number: 541-357-6389
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Mailing Address
IVY LOUISE PETERSON EAST
4750 FRANKLIN BLVD SPC B5
EUGENE, OR 97403-2450
Phone number: 458-239-3345
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