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Individual

RACHELL PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7-B HOWARD DRIVE, BERGENFIELD, NJ 07621
(347) 892-1232
Mailing address
7-B HOWARD DRIVE, BERGENFIELD, NJ 07621
(347) 892-1232

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1482259211
NY

Other

Enumeration date
04/28/2021
Last updated
05/26/2021
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