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1477675973
THOMAS PETERSEN
SOUTH BEND, IN
NPI
1477675973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 3500 1250 A)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Dr. THOMAS PETERSEN Ph.D.
115 S SAINT PETER ST
SOUTH BEND, IN 46617-2912
Phone number: 574-287-8147
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Mailing Address
Dr. THOMAS PETERSEN Ph.D.
115 S SAINT PETER ST
SOUTH BEND, IN 46617-2912
Phone number: 574-287-8147
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