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1609856053
PENNY L PETERSON
SALT LAKE CITY, UT
NPI
1609856053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1328423501)
Enumeration Date
2006-01-20
Last Update Date
2011-07-25
Business Address
-- PENNY L PETERSON LCSW
2525 LAKE PARK BLVD
SALT LAKE CITY, UT 84120-8230
Phone number: 801-982-3085
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Mailing Address
-- PENNY L PETERSON LCSW
2525 LAKE PARK BLVD
SALT LAKE CITY, UT 84120-8230
Phone number: 801-982-3085
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