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1790107597
PETERSON Q PHAM
GARDEN GROVE, CA
NPI
1790107597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-01-13
Last Update Date
2018-11-09
Business Address
PETERSON Q PHAM ASW
12912 BROOKHURST ST STE 480
GARDEN GROVE, CA 92840-4867
Phone number: 714-636-6286
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Mailing Address
PETERSON Q PHAM ASW
PO BOX 1789
GARDEN GROVE, CA 92842-1789
Phone number: 657-206-0035
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