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1942900667
JULIE BLAKE PETERSON
PANTEGO, TX
NPI
1942900667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 28303)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
JULIE BLAKE PETERSON LMSW
2810 PEACHTREE LN
PANTEGO, TX 76013-3115
Phone number: 817-412-9704
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Mailing Address
JULIE BLAKE PETERSON LMSW
2810 PEACHTREE LN
PANTEGO, TX 76013-3115
Phone number: 817-412-9704
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