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1508489410
CHANDRA NICOLE PETERSON
SAN ANTONIO, TX
NPI
1508489410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 55071)
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
CHANDRA NICOLE PETERSON LCSW
6363 DE ZAVALA RD
SAN ANTONIO, TX 78249-2103
Phone number: 210-399-4838
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Mailing Address
CHANDRA NICOLE PETERSON LCSW
6363 DE ZAVALA RD STE 300
SAN ANTONIO, TX 78249-2104
Phone number: 210-399-4838
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