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1639897663
ADAM PETERSON
SALT LAKE CITY, UT
NPI
1639897663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12932968-3502)
Enumeration Date
2022-08-16
Last Update Date
2022-10-18
Business Address
ADAM PETERSON
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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Mailing Address
ADAM PETERSON
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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