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Individual
ANNE PETERSON
Active
Individual
ANNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001920
CT
101YP2500X
Professional Counselor
Primary
001920
CT
Other
Enumeration date
03/19/2012
Last updated
06/22/2021
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