Individual
HEIDI J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
1326 E RIPLEY ST, LITCHFIELD, MN 55355-4525
(320) 593-0440
(320) 593-0442
Mailing address
1326 E RIPLEY ST, LITCHFIELD, MN 55355-4525
(320) 593-0440
(320) 593-0442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21128
MN
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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