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Corrie Peltier, LADC
NPI 1114070406 · on the registry since 2007 · sole proprietor
Practice
- Address
- 31065 Forest Blvd.
Stacy, MN 55079 - Phone
- (650) 408-7121
Registry record
- Primary taxonomy
- Substance Abuse Rehabilitation Facility
324500000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota