Individual
MR. PAUL JOSEPH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1459 N MAIN ST STE 100, BOUNTIFUL, UT 84010-6092
(801) 298-2000
(801) 951-1490
Mailing address
1459 N MAIN ST STE 100, BOUNTIFUL, UT 84010-6092
(801) 298-2000
(801) 951-1490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5388245-3501
UT
1041C0700X
Clinical Social Worker
5388245-3501
UT
Other
Enumeration date
01/25/2007
Last updated
09/23/2024
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