Individual
SYDNEY K PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
18598 ELK RIVER TRL, FARMINGTON, MN 55024
(651) 333-0653
Mailing address
1106 WOODLEY ST E, NORTHFIELD, MN 55057-2957
(218) 289-2422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
31151
MN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/21/2019
Last updated
04/05/2024
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