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Organization
PAULA M PETERSON
Active
Organization
PAULA M PETERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA MARIE JEANNETTE PETERSON PLMHP (COUNSELOR)
(402) 833-1410
Entity
Organization
Contact information
Practice address
803 PROVIDENCE RD, SUITE 102, WAYNE, NE 68787-1623
(402) 833-1410
Mailing address
803 PROVIDENCE RD, STE. 102, WAYNE, NE 68787-1519
(402) 833-1410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10560
NE
Other
Enumeration date
07/07/2015
Last updated
07/06/2016
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