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1760806103
HOLLY PETERSEN
LONG ISLAND CITY, NY
NPI
1760806103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NY 085016)
Enumeration Date
2014-02-05
Last Update Date
2014-02-05
Business Address
-- HOLLY PETERSEN
1143 47TH AVE
LONG ISLAND CITY, NY 11101-5465
Phone number: 631-880-0644
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Mailing Address
-- HOLLY PETERSEN
3127 36TH ST APT 1
ASTORIA, NY 11106-1001
Phone number: 631-880-0644
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