IVY LOUISE PETERSON EAST

EUGENE, OR
NPI1386314573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2021-09-17
Last Update Date2021-10-31
Business Address
IVY LOUISE PETERSON EAST
1195A CITY VIEW ST
EUGENE, OR 97402-3325
Phone number: 541-357-6389
Mailing Address
IVY LOUISE PETERSON EAST
4750 FRANKLIN BLVD SPC B5
EUGENE, OR 97403-2450
Phone number: 458-239-3345
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