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Individual

ERIC L PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
4570 HILTON PWKY, COLORADO SPRINGS, CO 80907
(719) 432-9222
Mailing address
2710 N PROSPECT ST, COLORADO SPRINGS, CO 80907-6323
(331) 276-3754

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/15/2019
Last updated
11/15/2019
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