SHANTEL NICHOLE PETTIT

RIVERTON, UT
NPI1083047567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5987144-3502)
Enumeration Date2013-08-19
Last Update Date2013-08-19
Business Address
-- SHANTEL NICHOLE PETTIT CSW
3740 W MARKET CENTER DR #1200
RIVERTON, UT 84065-8026
Phone number: 801-240-9436
Mailing Address
-- SHANTEL NICHOLE PETTIT CSW
3740 W MARKET CENTER DR #1200
RIVERTON, UT 84065-8026
Phone number: 801-240-9436