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1780994962
FAYE RUTH PETERSEN
URBANDALE, IA
NPI
1780994962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IA 01054)
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
MS. FAYE RUTH PETERSEN MSW LISW
4126 PATRICIA DR
URBANDALE, IA 50322-1303
Phone number: 515-360-7446
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Mailing Address
MS. FAYE RUTH PETERSEN MSW LISW
4126 PATRICIA DR
URBANDALE, IA 50322-1303
Phone number: 515-360-7446
Copy
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