Individual
AMY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17128 SE 35TH ST, BELLEVUE, WA 98008-5820
(253) 347-1904
Mailing address
17128 SE 35TH ST, BELLEVUE, WA 98008-5820
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60490019
WA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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