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1649312406
ELYSA PETERSEN
ROCKLEDGE, FL
NPI
1649312406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH0007414)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
-- ELYSA PETERSEN LMHC
1770 CEDAR ST
ROCKLEDGE, FL 32955-3133
Phone number: 321-634-6257
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Mailing Address
-- ELYSA PETERSEN LMHC
1770 CEDAR ST
ROCKLEDGE, FL 32955-3133
Phone number: 321-634-6257
Copy
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