Individual
JULIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
95 GOLF COURSE RD STE 105, LOGAN, UT 84321-5990
(435) 915-6398
Mailing address
95 GOLF COURSE RD STE 105, LOGAN, UT 84321-5990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13989915-3502
UT
Other
Enumeration date
06/10/2024
Last updated
03/16/2026
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