Individual
CORI CHRISTINA BOEHM-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6636 CEDAR AVE S STE 360, RICHFIELD, MN 55423-2712
(612) 998-8934
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14296
MN
1041C0700X
Clinical Social Worker
14296
MN
Other
Enumeration date
07/16/2010
Last updated
10/25/2024
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