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1659838142
JULIE ANN PETERSON
SAINT PAUL, MN
NPI
1659838142
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Former Name
JULIE RICHTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305271)
Enumeration Date
2019-02-21
Last Update Date
2024-09-20
Business Address
Mrs. JULIE ANN PETERSON LADC
640 JACKSON ST
SAINT PAUL, MN 55101-2595
Phone number: 651-254-1440
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Mailing Address
Mrs. JULIE ANN PETERSON LADC
640 JACKSON ST MAILSTOP 11303C
SAINT PAUL, MN 55101-2595
Phone number:
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