Individual
JENNIFER LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3579
(320) 225-3533
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3579
(320) 225-3533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15296
MN
Other
Enumeration date
11/15/2019
Last updated
11/11/2020
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