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1710607528
JEANIE ELIZABETH PETERSEN
WEST LINN, OR
NPI
1710607528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR L10678)
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
JEANIE ELIZABETH PETERSEN
2906 BLUEGRASS WAY
WEST LINN, OR 97068-2309
Phone number: 503-351-5681
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Mailing Address
JEANIE ELIZABETH PETERSEN
2906 BLUEGRASS WAY
WEST LINN, OR 97068-2309
Phone number: 503-351-5681
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