Individual
MRS. DENEAN PETERSEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
136 W UNIVERSITY BLVD, CEDAR CITY, UT 84720-2560
(435) 586-5495
(435) 865-8055
Mailing address
383 N 600 W, CEDAR CITY, UT 84721-4437
(435) 586-0825
(435) 586-0825
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108453-3501
UT
Other
Enumeration date
10/20/2009
Last updated
12/04/2017
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