MR. DAVID PETERSON, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1104905272
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LICSW#2185 (MN) |
Frequently Asked Questions
NPI 1104905272 is the National Provider Identifier for MR. DAVID PETERSON, LICSW, a Social Worker - Clinical provider located in Alexandria, MN. This NPI was enumerated on November 2, 2006.
MR. DAVID PETERSON, LICSW practices at 222 9TH AVE W, Alexandria, MN 56308.
Quick Facts
- NPI
- 1104905272
- Type
- Individual
- Enumerated
- Nov 2, 2006
- Last Updated
- Jul 8, 2007
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