Individual
MISS ORIANA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 2ND AVE W, WILLISTON, ND 58801-4164
(701) 572-7650
Mailing address
1319 2ND AVE W, WILLISTON, ND 58801-4164
(701) 572-7650
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5096
ND
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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