PETER HEADLEY DELONG

MINNEAPOLIS, MN
NPI1336412659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  19360)
Enumeration Date2012-02-16
Last Update Date2019-09-06
Business Address
PETER HEADLEY DELONG LICSW
1600 E LAKE ST # 5
MINNEAPOLIS, MN 55407-1846
Phone number: 763-772-2217
Mailing Address
PETER HEADLEY DELONG LICSW
1600 E LAKE ST
MINNEAPOLIS, MN 55407-1846
Phone number: 763-772-2217