Jimmie Ray Peterson

NPI #1861144768 in Eagan, Minnesota

Provider Information

NPI Number
1861144768
Entity Type
Individual
Name
Jimmie Ray Peterson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Enumeration Date
Jan 21, 2022
Last Updated
Jan 21, 2022

Practice Location

Address
2085 JADE LN
City
Eagan
ZIP Code
55122-2862
Phone
(612) 619-1047

Specialties & Taxonomy Codes

Specialty
Social Worker

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