CHARLES RANDOLPH PETERSEN

CLARKSTON, WA
NPI1417578014
Professional NamePETE PETERSEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-05-05
Last Update Date2020-05-05
Business Address
CHARLES RANDOLPH PETERSEN
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 508-758-3341
Mailing Address
CHARLES RANDOLPH PETERSEN
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 508-758-3341
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