LACEY JEAN PETERSON

EAGLE MOUNTAIN, UT
NPI1598285025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  11115847-3501)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09926230)
Enumeration Date2017-06-26
Last Update Date2021-02-08
Business Address
Ms. LACEY JEAN PETERSON LCSW
2398 E PRAIRIE LN
EAGLE MOUNTAIN, UT 84005-3300
Phone number: 801-448-7898
Mailing Address
Ms. LACEY JEAN PETERSON LCSW
2398 E PRAIRIE LN
EAGLE MOUNTAIN, UT 84005-3300
Phone number: 801-448-7898