Most Relevant Information
Provider Data
| NPI Number: | 1003297813 |
| Provider Name: | LINDSEY PETERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 24594 |
Most Important Dates
| Enumeration Date: | 06/17/2015 |
| Last Updated: | 03/08/2022 |
Provider Practice Location
1654 BURKE AVE E
MAPLEWOOD
MN
55109
Practice Location Phone/Fax
| Phone: | 6125676306 |
| Fax: |
Provider Mailing Location
4707 HIGHWAY 61 N # 1037
WHITE BEAR LAKE
MN
551103227
Provider Mailing Phone/Fax
| Phone: | 6125676306 |
| Fax: |