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1679764989
DAVID H PETERSEN
OGDEN, UT
NPI
1679764989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 108132-3501)
Enumeration Date
2007-08-05
Last Update Date
2016-11-02
Business Address
Mr. DAVID H PETERSEN LCSW
6112 S 1550 E
OGDEN, UT 84405-5007
Phone number: 801-589-5251
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Mailing Address
Mr. DAVID H PETERSEN LCSW
6112 S. 1550 E. SKYLINE DR.
OGDEN, UT 84405-5007
Phone number: 801-589-5251
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