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1518265735
BRADLEY LEWIS PETERSON
VANCOUVER, WA
NPI
1518265735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60172629)
Enumeration Date
2011-03-11
Last Update Date
2016-04-20
Business Address
Mr. BRADLEY LEWIS PETERSON LMHC
11105 NE 14TH ST SUITE 103
VANCOUVER, WA 98684-4308
Phone number: 360-980-7906
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Mailing Address
Mr. BRADLEY LEWIS PETERSON LMHC
11105 NE 14TH ST SUITE 103
VANCOUVER, WA 98684-4308
Phone number: 360-980-7906
Copy
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