Organization
JOY PETERMANN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY M PETERMANN LICSW (OWNER/CLINICAL THERAPIST)
(763) 432-4072
Entity
Organization
Contact information
Practice address
5353 GAMBLE DR STE 110, ST LOUIS PARK, MN 55416-1539
(763) 432-4072
(763) 432-4073
Mailing address
5353 GAMBLE DR STE 110, ST LOUIS PARK, MN 55416-1539
(763) 432-4072
(763) 432-4073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14968
MN
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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