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1942704127
LISA PETERSEN
BURLINGTON, VT
NPI
1942704127
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Former Name
LISA MALLORY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 068-01288884)
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
LISA PETERSEN LCMHC
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6600
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Mailing Address
LISA PETERSEN LCMHC
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6920
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