RICK WAYNE PETERS

BAXTER, MN
NPI1942432075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302318)
Enumeration Date2009-08-24
Last Update Date2015-05-04
Business Address
Mr. RICK WAYNE PETERS LADC
13045 FALCON DR SUITE 100
BAXTER, MN 56425-4201
Phone number: 218-829-9307
Mailing Address
Mr. RICK WAYNE PETERS LADC
1900 SILVER LAKE NWRD 110
NEW BRIGHTON, MN 55112
Phone number: 651-379-1718
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