SANDRA PETERSON, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1053307025
Practice Address
120 LABREE AVE SNORTHWEST MEDICAL CENTER
Thief River Falls, MN 56701
Phone: (218) 681-4240
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 4847 (MN) |
Frequently Asked Questions
NPI 1053307025 is the National Provider Identifier for SANDRA PETERSON, LICSW, a Social Worker - Clinical provider located in Thief River Falls, MN. This NPI was enumerated on September 23, 2005.
SANDRA PETERSON, LICSW practices at 120 LABREE AVE S, NORTHWEST MEDICAL CENTER, Thief River Falls, MN 56701.
Quick Facts
- NPI
- 1053307025
- Type
- Individual
- Enumerated
- Sep 23, 2005
- Last Updated
- Jul 8, 2007
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