DAVID PETERSON

MODESTO, CA
NPI1851443469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- DAVID PETERSON
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
Mailing Address
-- DAVID PETERSON
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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