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1619169901
MICHELLE PETERSON
GLEN ELLYN, IL
NPI
1619169901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-08-10
Last Update Date
2007-08-10
Business Address
Mrs. MICHELLE PETERSON developmental Therap
579 RIFORD RD
GLEN ELLYN, IL 60137-4236
Phone number: 630-858-2336
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Mailing Address
Mrs. MICHELLE PETERSON developmental Therap
579 RIFORD RD
GLEN ELLYN, IL 60137-4236
Phone number: 630-858-2336
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