Individual
CASSANDRA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 E STATE RD, PLEASANT GROVE, UT 84062-2637
(801) 876-0036
Mailing address
66 E STATE RD, PLEASANT GROVE, UT 84062-2637
(801) 876-0036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14266877-3502
UT
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
05/06/2026
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