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Individual

ANDREW ROBERT PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Contact information

Practice address
70 COUNTY ROAD B2 W, LITTLE CANADA, MN 55117-1402
(651) 415-5421
Mailing address
2540 COUNTY ROAD F E, WHITE BEAR TOWNSHIP, MN 55110-3935
(651) 415-5421

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21569
MN

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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