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1548203045
LAURA PETERSEN
BLOOMINGTON, IN
NPI
1548203045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004770)
Enumeration Date
2006-06-13
Last Update Date
2014-11-25
Business Address
-- LAURA PETERSEN LCSW
901 S ROGERS ST SUITE 202
BLOOMINGTON, IN 47403-4756
Phone number: 812-369-7683
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Mailing Address
-- LAURA PETERSEN LCSW
901 S ROGERS ST SUITE 202
BLOOMINGTON, IN 47403-4756
Phone number: 812-369-7683
Copy
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