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1710043211
J. PETERSON
SHEPHERDSTOWN, WV
NPI
1710043211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WV 741)
Enumeration Date
2006-12-29
Last Update Date
2008-02-27
Business Address
-- J. PETERSON Ph.D., L.L.C.
129 EAST GERMAN STREET ROOM 210
SHEPHERDSTOWN, WV 25443-1650
Phone number: 304-876-3766
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Mailing Address
-- J. PETERSON Ph.D., L.L.C.
PO BOX 1650
SHEPHERDSTOWN, WV 25443-1650
Phone number: 304-876-3766
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