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1477032779
NIKITA PETERSEN
LAYTON, UT
NPI
1477032779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12755333-3502)
Enumeration Date
2018-08-08
Last Update Date
2022-10-11
Business Address
NIKITA PETERSEN CSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
NIKITA PETERSEN CSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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