Individual
PETER BABA OTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 10TH ST S, UNIT 107, MOORHEAD, MN 56560-6104
(218) 477-0759
Mailing address
3401 10TH ST S, UNIT 107, MOORHEAD, MN 56560-6104
(218) 477-0759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1058465-1-AFC
MN
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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