Sandra Peterson's National Provider Identifier (NPI) Details
Sandra Peterson, LICSW
NPI: 1053307025
Enumeration Date: 2005-09-23
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 21078 115TH AVE NE, THIEF RIVER FALLS, MN
Phone: 218-681-3658
Primary Practice Address: 120 LABREE AVE S, NORTHWEST MEDICAL CENTER, THIEF RIVER FALLS, MN
Practice's phone: 218-681-4240