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1669901260
JESSICA PETERSON
COEUR D ALENE, ID
NPI
1669901260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-39938)
Enumeration Date
2017-06-07
Last Update Date
2023-10-12
Business Address
JESSICA PETERSON LCSW
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814-2114
Phone number: 208-930-1740
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Mailing Address
JESSICA PETERSON LCSW
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814-2114
Phone number: 208-930-1740
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