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Individual

REBECCA PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
360 W BROADWAY, SUITE 206, SALT LAKE CITY, UT 84101-1722
(801) 739-8611
(801) 606-7197
Mailing address
360 W BROADWAY, SUITE 206, SALT LAKE CITY, UT 84101-1722
(801) 739-8611
(801) 606-7197

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4775428-3501
UT

Other

Enumeration date
01/14/2011
Last updated
01/09/2013
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