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1821166653
PATRICIA MARY PETERSON
BURNSVILLE, MN
NPI
1821166653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: MN LP3202)
Enumeration Date
2006-12-01
Last Update Date
2007-07-09
Business Address
-- PATRICIA MARY PETERSON
1500 MCANDREWS RD W SUITE 224
BURNSVILLE, MN 55337-4432
Phone number: 612-325-4018
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Mailing Address
-- PATRICIA MARY PETERSON
13657 ELKWOOD DR
APPLE VALLEY, MN 55124-5233
Phone number: 612-325-4018
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