Individual
BETH K. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
7365 KIRKWOOD CT., SUITE 360, MAPLE GROVE, MN 55369
(763) 424-9591
(763) 496-0635
Mailing address
7365 KIRKWOOD CT., SUITE 360, MAPLE GROVE, MN 55369
(763) 424-9591
(763) 496-0635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15975
MN
Other
Enumeration date
12/03/2007
Last updated
07/21/2022
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