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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA LUANN PETERSON, LICSW

Active

SANDRA LUANN PETERSON, LICSW is a Clinical Social Worker healthcare provider located in THIEF RIVER FALLS, Minnesota. NPI 1053307025 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · THIEF RIVER FALLS, MN

Registration Details

NPI Number
1053307025
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2005 (20.869747852592 yrs)
Last Updated
Jul 8, 2007
License
4847 (MN)

Practice Information

Address
120 LABREE AVE S
NORTHWEST MEDICAL CENTER
THIEF RIVER FALLS, MN, 567012819
Browse MN providers · Browse ZIP 56701
Phone
2186814240
Fax
2186815614
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in THIEF RIVER FALLS, MN

Name Credential NPI
JENNIFER ANN MANNING LICSW 1538217088
TERRENCE ROBERT DEMARS LICSW 1255514477
CAROL JOHNSON BS, LSW 1578956702
ROXANNE L. ZERWAS MSW, LICSW 1497203228
STACY M. ENGLUND MSW, LICSW 1316472749
BRITTNEY LEIGH BIMLER LICSW 1760971196
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.