STEPHEN PETERSON

LAFAYETTE, IN
NPI1790161776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34001361A)
Enumeration Date2015-07-31
Last Update Date2015-07-31
Business Address
-- STEPHEN PETERSON LCSW,LCAC
3708 ASHLEY OAKS DR APT. D
LAFAYETTE, IN 47905-4495
Phone number: 765-586-5024
Mailing Address
-- STEPHEN PETERSON LCSW,LCAC
3708 ASHLEY OAKS DR APT. D
LAFAYETTE, IN 47905-4495
Phone number: 765-586-5024
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