Individual
KATHERINE WISCOMB PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4516 S 700 E, MURRAY, UT 84107-4192
(801) 898-4440
Mailing address
1751 YALECREST AVE, SALT LAKE CITY, UT 84108-1839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8756475-3501
UT
Other
Enumeration date
09/08/2011
Last updated
12/18/2023
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