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1851998207
KELISSA PETERSON
MURRAY, UT
NPI
1851998207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 7396757-3501)
Enumeration Date
2020-10-07
Last Update Date
2020-10-07
Business Address
KELISSA PETERSON LCSW
345 E 4500 S STE 260
MURRAY, UT 84107-3954
Phone number: 208-994-9677
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Mailing Address
KELISSA PETERSON LCSW
284 E 750 S
FARMINGTON, UT 84025-3243
Phone number: 208-994-9677
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