Individual
MEGAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
SD
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/13/2019
Last updated
08/07/2019
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