KELISSA PETERSON

FARMINGTON, UT
NPI1851998207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  7396757-3501)
Enumeration Date2020-10-07
Last Update Date2025-10-02
Business Address
KELISSA PETERSON LCSW
284 E 750 S
FARMINGTON, UT 84025-3243
Phone number: 208-994-9677
Mailing Address
KELISSA PETERSON LCSW
284 E 750 S
FARMINGTON, UT 84025-3243
Phone number: 208-994-9677
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