| Bethany Peterson, Pllc | |
|
3523 45th St S Fargo ND 58104-8962 | |
| (218) 329-9345 | |
| Not Available |
| Full Name | Bethany Peterson, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3523 45th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Bethany Peterson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2183299345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Peterson, Pllc 110 15th St Se Barnesville MN 56514-3315 Ph: (218) 329-9345 | Bethany Peterson, Pllc 3523 45th St S Fargo ND 58104-8962 Ph: (218) 329-9345 |
| NPI Number | 1518688720 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518688720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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