GORDON WAYNE PETERSEN

BURLINGTON, VT
NPI1487746244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089-0000142)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Mr. GORDON WAYNE PETERSEN MSW, LICSW
166 BATTERY ST
BURLINGTON, VT 05401-5283
Phone number: 802-862-3373
Mailing Address
Mr. GORDON WAYNE PETERSEN MSW, LICSW
763 NORTH AVE
BURLINGTON, VT 05401-2728
Phone number: 802-862-9067
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