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Individual

DANNA MARIE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2701 E ANDY DEVINE AVE STE 108, KINGMAN, AZ 86401-4889
(602) 510-0665
Mailing address
2701 E ANDY DEVINE AVE STE 108, KINGMAN, AZ 86401-4889
(602) 510-0665

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC17750
AZ

Other

Enumeration date
02/06/2019
Last updated
11/23/2020
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