Individual
ALFRED LLOYD PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1808 NW 176TH TER, EDMOND, OK 73012-6945
(405) 313-0168
Mailing address
1808 NW 176TH TER, EDMOND, OK 73012-6945
(405) 313-0168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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