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Individual
AIMEE E PETERSON
Active
Individual
AIMEE E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5050
SD
1041C0700X
Clinical Social Worker
62088
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164086450
—
SD
05
—
1477179919
—
SD
Enumeration date
04/23/2019
Last updated
10/15/2020
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