Organization
LACIE PETERSON SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACIE PETERSON (OWNER)
(763) 445-9873
Entity
Organization
Contact information
Practice address
12700 OAKHILL TRL, DAYTON, MN 55327-9719
(651) 380-0473
Mailing address
12700 OAKHILL TRL, DAYTON, MN 55327-9719
(651) 380-0473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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