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1962554139
LAEL R PETERSEN
WEST LINN, OR
NPI
1962554139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OR L3614)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
LAEL R PETERSEN LCSW
1980 WILLAMETTE FALLS DR SUITE 240
WEST LINN, OR 97068-4668
Phone number: 503-656-2888
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Mailing Address
LAEL R PETERSEN LCSW
1980 WILLAMETTE FALLS DR SUITE 240
WEST LINN, OR 97068-4668
Phone number: 503-656-2888
Copy
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