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Individual

ASHLEY PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3515
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
4685
ND
1041C0700X
Clinical Social Worker
Primary
20997
MN

Other

Enumeration date
02/24/2012
Last updated
12/28/2023
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