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1538670278
DIANE PETERSON
WACO, TX
NPI
1538670278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 14770)
Enumeration Date
2017-10-20
Last Update Date
2017-10-20
Business Address
DIANE PETERSON MS, CCC/SLP
900 WASHINGTON AVE STE 602
WACO, TX 76701-1283
Phone number: 254-296-9792
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Mailing Address
DIANE PETERSON MS, CCC/SLP
900 WASHINGTON AVE STE 602
WACO, TX 76701-1283
Phone number: 254-296-9792
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