Individual
ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1910 HENNEPIN AVE, MINNEAPOLIS, MN 55403-3160
(952) 221-2510
Mailing address
2700 E LAKE ST, MINNEAPOLIS, MN 55406-1963
(612) 873-8116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7023
MN
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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