Sandra Luann Peterson, LICSW
NPI #1053307025 in Thief River Falls, Minnesota
Provider Information
- NPI Number
- 1053307025
- Entity Type
- Individual
- Name
- Sandra Luann Peterson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 23, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 120 LABREE AVE S
- Address 2
- NORTHWEST MEDICAL CENTER
- State
- Minnesota
- ZIP Code
- 56701-2819
- Phone
- (218) 681-4240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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