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Individual

STEPHANIE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
(203) 931-0067
Mailing address
262 CANDLEWOOD HILL RD, HIGGANUM, CT 06441-4254

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2974
CT

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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