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Individual

PETER JOSEPH MANSUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Mailing address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3469
MN

Other

Enumeration date
12/21/2018
Last updated
12/21/2018
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