Individual
LACIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
—
MN
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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