TYLER ROLLAND PETERSEN

HERRIMAN, UT
NPI1770960452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5919098-3502)
Enumeration Date2015-05-01
Last Update Date2015-05-01
Business Address
Mr. TYLER ROLLAND PETERSEN CSW
13351 S SHAUNNA LANE
HERRIMAN, UT 84096
Phone number: 801-915-6055
Mailing Address
Mr. TYLER ROLLAND PETERSEN CSW
13351 S SHAUNNA LN
HERRIMAN, UT 84096-4706
Phone number: 801-915-6055
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