Gretchen Elsa Peterson, LICSW
Social Worker, Clinical in Minnetonka, MN. Individual provider (NPI-1).
NPI number1982191847
StatusActive
Last updated in NPPESAug 29, 2018
Details
- NPI
- 1982191847
- Entity type
- Individual (NPI-1)
- Name
- Gretchen Elsa Peterson
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2018
- Last updated
- Aug 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10239 | MN | Yes |
Practice location
3395 Plymouth RdMinnetonka, MN 55305
Phone 952-939-0396 · Fax 952-548-8760
Mailing address
3395 Plymouth RdMinnetonka, MN 55305-3765
Phone 952-939-0396 · Fax 952-548-8760
Other practice locations
8800 Highway 7 Ste 200
St Louis Park, MN 55426-3955
St Louis Park, MN 55426-3955
Phone 952-939-0396
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