Abigail Joy Petersen
Social Worker, Clinical in New Brighton, MN. Individual provider (NPI-1).
NPI number1104539741
StatusActive
Last updated in NPPESDec 28, 2022
Details
- NPI
- 1104539741
- Entity type
- Individual (NPI-1)
- Name
- Abigail Joy Petersen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2022
- Certification date
- Dec 28, 2022
- Last updated
- Dec 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 77404 | MN | Yes |
Practice location
1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
Phone 763-477-1367
Mailing address
1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
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All 50 Clinical Social Worker providers in New Brighton · All 770 providers in New Brighton
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