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1548631112
JAMES PETERMAN
SHELTON, WA
NPI
1548631112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60819639)
Enumeration Date
2015-10-08
Last Update Date
2019-08-26
Business Address
JAMES PETERMAN
235 S 3RD ST
SHELTON, WA 98584
Phone number: 360-426-0890
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Mailing Address
JAMES PETERMAN
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number: 360-426-0890
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