Individual
QUIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 2ND AVE NW, WEST FARGO, ND 58078-1161
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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