Individual
ANNA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 JAMES AVE, MANKATO, MN 56001-4090
(507) 345-4631
Mailing address
34944 710TH AVE, SAINT JAMES, MN 56081-3411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10350
MN
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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