Individual
JENNY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1576 S 500 W, WOODS CROSS, UT 84010-7433
(801) 406-9002
Mailing address
1454 PONY EXPRESS WAY, CENTERVILLE, UT 84014-3024
(801) 330-9598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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