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Individual

ERICA R PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
UW AUTISM CTR 1701 NE COLUMBIA RD, SEATTLE, WA 98195-0001
(206) 616-8642
Mailing address
PO BOX 357921, SEATTLE, WA 98195-2109

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/01/2017
Last updated
06/01/2017
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