JOSEPH PETERSEN

ALBERT LEA, MN
NPI1699143149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302594)
Enumeration Date2015-09-14
Last Update Date2017-12-26
Business Address
JOSEPH PETERSEN BS, LADC
203 W CLARK ST
ALBERT LEA, MN 56007-2549
Phone number: 507-377-5484
Mailing Address
JOSEPH PETERSEN BS, LADC
723 N ELM AVE
OWATONNA, MN 55060-1736
Phone number: 507-676-7573
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