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1558102483
SAVANNA R PETERSEN
KELSO, WA
NPI
1558102483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-06-04
Last Update Date
2024-06-04
Business Address
SAVANNA R PETERSEN
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-795-5008
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Mailing Address
SAVANNA R PETERSEN
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-795-5008
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