PENNY L PETERSON

SALT LAKE CITY, UT
NPI1609856053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  1328423501)
Enumeration Date2006-01-20
Last Update Date2011-07-25
Business Address
PENNY L PETERSON LCSW
2525 LAKE PARK BLVD
SALT LAKE CITY, UT 84120-8230
Phone number: 801-982-3085
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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