Individual
BRIANA NICOLE PETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S UNIVERSITY AVE # 1400, PROVO, UT 84601-4427
(801) 851-7118
Mailing address
142 W 1230 N APT 231, PROVO, UT 84604-6914
(540) 446-8509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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