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Individual
AMI PETERSON
Active
Individual
AMI PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-7107
ID
Other
Enumeration date
10/06/2019
Last updated
07/13/2022
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