Individual
ANNA MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 S. WILDER ST., MOSES LAKE, WA 98837
(509) 770-3544
Mailing address
814 S. WILDER ST., MOSES LAKE, WA 98837
(509) 770-3544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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