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Individual
LINDA LORRAINE PETERSON
Active
Individual
LINDA LORRAINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1300412
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266083
—
OH
Enumeration date
07/19/2010
Last updated
10/13/2021
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