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Individual

SCOTT PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1880 RIVER RD, GRAND RAPIDS, MN 55744-4085
(218) 327-3000
(218) 327-1871
Mailing address
1880 RIVER RD, GRAND RAPIDS, MN 55744-4085
(218) 327-3000
(218) 327-1871

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2359
MN

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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