CASEY BRIAN PETERSEN

SALT LAKE CITY, UT
NPI1114431772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  7392336-3501)
Enumeration Date2017-11-18
Last Update Date2018-03-17
Business Address
CASEY BRIAN PETERSEN LCSW
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
Mailing Address
CASEY BRIAN PETERSEN LCSW
11656 S OAKMOND RD
SOUTH JORDAN, UT 84009-5049
Phone number: 801-643-3332
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