NPI 1104539741

Abigail Joy Petersen

Practitioner Clinical Social Worker New Brighton, MN

Practice location

Address: 1900 Silver Lake Rd NW STE 110, New Brighton, MN 55112-1789
Phone: (763) 477-1367

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 77404 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1104539741
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2022
Record last updated: 28 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.