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1740019850
LISA S PETERSON
FOREST GROVE, OR
NPI
1740019850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225A00000X Music Therapist
(Licence: OR MT-T-10174257)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
LISA S PETERSON MT-BC
2623 12TH AVE
FOREST GROVE, OR 97116-3003
Phone number: 503-901-6953
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Mailing Address
LISA S PETERSON MT-BC
2623 12TH AVE
FOREST GROVE, OR 97116-3003
Phone number: 503-901-6953
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