CAROL CAMILLE PETERSON

VIRGINIA, MN
NPI1255858510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  300222)
Enumeration Date2017-08-28
Last Update Date2022-07-21
Business Address
CAROL CAMILLE PETERSON
505 S 12TH AVE W
VIRGINIA, MN 55792-3099
Phone number: 218-749-2877
Mailing Address
CAROL CAMILLE PETERSON
505 S 12TH AVE W
VIRGINIA, MN 55792-3099
Phone number: 218-749-2877
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