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1033544119
MICHAEL ROBERT PETERSON
STILLWATER, MN
NPI
1033544119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 1565)
Enumeration Date
2013-09-09
Last Update Date
2020-01-07
Business Address
MICHAEL ROBERT PETERSON LMFT
522 4TH ST S
STILLWATER, MN 55082-4966
Phone number: 612-220-6038
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Mailing Address
MICHAEL ROBERT PETERSON LMFT
6201 SAINT CROIX TRL N APT 119
OAK PARK HEIGHTS, MN 55082-6966
Phone number: 612-220-6038
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