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1861040735
JAMES PETERSEN
COLORADO SPRINGS, CO
NPI
1861040735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2019302468)
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
JAMES PETERSEN LCSW
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907-4094
Phone number: 719-227-4057
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Mailing Address
JAMES PETERSEN LCSW
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907-4094
Phone number: 719-227-4330
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