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1720135163
MARY PETERSON
NEWBERG, OR
NPI
1720135163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1671)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
Dr. MARY PETERSON Ph.D.
414 N MERIDIAN ST BOX 6275
NEWBERG, OR 97132-2697
Phone number: 503-554-2377
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Mailing Address
Dr. MARY PETERSON Ph.D.
212 HILLTOP DR
NEWBERG, OR 97132-9027
Phone number: 503-538-2831
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