Individual
AMY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668
(801) 513-1537
Mailing address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112717443503
UT
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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