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1548959968
KALLIE PETERSEN
SALT LAKE CITY, UT
NPI
1548959968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8533533-3501)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
KALLIE PETERSEN LCSW
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-828-6150
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Mailing Address
KALLIE PETERSEN LCSW
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number:
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