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Organization
BETHANY PETERSON, PLLC
Active
Organization
BETHANY PETERSON, PLLC
Active
Other names
Moving Forward Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY PETERSON MSW, LICSW, LAC (CLINICAL SOCIAL WORKER)
(218) 329-9345
Entity
Organization
Contact information
Practice address
3523 45TH ST S, FARGO, ND 58104-8962
(218) 329-9345
Mailing address
110 15TH ST SE, BARNESVILLE, MN 56514-3315
(218) 329-9345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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