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1821227141
DIANE PETERSEN
LEESBURG, FL
NPI
1821227141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL MH 9521)
Enumeration Date
2009-07-08
Last Update Date
2020-03-19
Business Address
DIANE PETERSEN LMHC
2020 TALLEY RD
LEESBURG, FL 34748-3426
Phone number: 352-315-7800
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Mailing Address
DIANE PETERSEN LMHC
204 WESTWOOD DR
LEESBURG, FL 34748-8753
Phone number: 352-315-7800
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