Individual
ERIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1376 DALE ST N, SAINT PAUL, MN 55117-4126
(651) 675-9714
Mailing address
1376 DALE ST N, SAINT PAUL, MN 55117-4126
(651) 675-9714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37417
MN
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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