Organization
BETHANY PETERSON, PLLC
Active
Other names
Moving Forward Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY PETERSON MSW, LICSW, LAC (CLINICAL SOCIAL WORKER)
(218) 329-9345
Entity
Organization
Contact information
Practice address
3523 45TH ST S, FARGO, ND 58104-8962
(218) 329-9345
Mailing address
110 15TH ST SE, BARNESVILLE, MN 56514-3315
(218) 329-9345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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