Individual
MRS. VANESSA MAE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 OSPREY PLACE NW, STEWARTVILLE, MN 55976
(507) 993-2004
Mailing address
2012 OSPREY PLACE NW, STEWARTVILLE, MN 55976
(507) 993-2004
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1089962-1-AFC
MN
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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