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1548932445
STEPHANIE E PETERSON
WAUKESHA, WI
NPI
1548932445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-29
Last Update Date
2021-09-29
Business Address
Ms. STEPHANIE E PETERSON LSW
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-888-8051
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Mailing Address
Ms. STEPHANIE E PETERSON LSW
S35W26748 CLOVER KNOLL DR
WAUKESHA, WI 53189-6224
Phone number:
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