RUSSELL EDWARD PETERS

SANDY, UT
NPI1912464546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MC60655977)
Enumeration Date2019-03-01
Last Update Date2019-03-01
Business Address
RUSSELL EDWARD PETERS
10708 S 1300 E STE 103
SANDY, UT 84094-5027
Phone number: 801-557-0674
Mailing Address
RUSSELL EDWARD PETERS
10708 S 1300 E STE 103
SANDY, UT 84094-5027
Phone number: 801-557-0674
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