PETER LYLE NOTEBOOM

MINNEAPOLIS, MN
NPI1952996894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  27334)
Enumeration Date2021-03-03
Last Update Date2021-11-17
Business Address
PETER LYLE NOTEBOOM LICSW
1313 PENN AVE N
MINNEAPOLIS, MN 55411-3047
Phone number: 612-543-2500
Mailing Address
PETER LYLE NOTEBOOM LICSW
4235 TYLER ST NE
COLUMBIA HEIGHTS, MN 55421-3242
Phone number: 612-741-3762