Individual
KRAIG ROBERT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 722-1497
(218) 722-6239
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27303
MN
1041C0700X
Clinical Social Worker
9522
WI
Other
Enumeration date
07/30/2018
Last updated
01/30/2024
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