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1992956379
CANDICE DIANE PETERSON
VALLEJO, CA
NPI
1992956379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-10-03
Last Update Date
2008-10-09
Business Address
-- CANDICE DIANE PETERSON
902 TUOLUMNE ST
VALLEJO, CA 94590-4641
Phone number: 707-648-8121
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Mailing Address
-- CANDICE DIANE PETERSON
1972 MAYBELLE DR
PLEASANT HILL, CA 94523-2708
Phone number: 925-798-7191
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