Individual
ELSE ROSE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4000 S 700 E STE 9, SALT LAKE CITY, UT 84107-2581
(801) 639-9544
(801) 263-4333
Mailing address
4000 S 700 E STE 9, SALT LAKE CITY, UT 84107-2581
(801) 639-9544
(801) 263-4333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13408619-3502
UT
Other
Enumeration date
04/12/2022
Last updated
12/20/2023
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