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Individual

DONALD RICHARD PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
38460 LINCOLN TRL, SUITE 106, NORTH BRANCH, MN 55056-5834
(651) 277-4283
(651) 277-4284
Mailing address
38460 LINCOLN TRL STE 106, P.O. BOX 723, NORTH BRANCH, MN 55056-5834
(651) 277-4283
(651) 277-4284

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13016
MN

Other

Enumeration date
05/27/2013
Last updated
05/27/2013
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