BRIAN LAMAR PETERSEN

SALT LAKE CITY, UT
NPI1659544773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  117747-3501)
Enumeration Date2008-04-09
Last Update Date2008-04-09
Business Address
-- BRIAN LAMAR PETERSEN LCSW
3724 S 2000 E
SALT LAKE CITY, UT 84109-3318
Phone number: 801-272-5138
Mailing Address
-- BRIAN LAMAR PETERSEN LCSW
3724 S 2000 E
SALT LAKE CITY, UT 84109-3318
Phone number:
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