Most Relevant Information
Provider Data
| NPI Number: | 1003396581 |
| Provider Name: | TAYLOR A PETERSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2018 |
| Last Updated: | 08/15/2018 |
Provider Practice Location
14 S MAIN ST STE 1E
ABERDEEN
SD
574014189
Practice Location Phone/Fax
| Phone: | 6052251010 |
| Fax: | 6057258055 |
Provider Mailing Location
14 S MAIN ST STE 1E
ABERDEEN
SD
574014189
Provider Mailing Phone/Fax
| Phone: | 6052251010 |
| Fax: | 6057258055 |