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Individual

MRS. JULIE ANN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.,LPC

Contact information

Practice address
1725 S MAIN ST, SUITE 202, WAKE FOREST, NC 27587-5012
(919) 556-6501
(919) 556-4933
Mailing address
502 KINSHIP LN, APEX, NC 27502-4460
(919) 372-1446

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5436
NC

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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