Vanessa Mae Peterson
Foster Care Agency in Stewartville, MN. Individual provider (NPI-1).
NPI number1669987111
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1669987111
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vanessa Mae Peterson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | 1089962-1-AFC | MN | Yes |
Practice location
2012 Osprey Place NwStewartville, MN 55976
Phone 507-993-2004
Mailing address
2012 Osprey Place NwStewartville, MN 55976
Phone 507-993-2004
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