Individual
MS. BONNIE L. PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 W CENTER ST, MIDVALE, UT 84047-7148
(801) 255-6881
(801) 562-9347
Mailing address
777 W CENTER ST, MIDVALE, UT 84047-7148
(801) 255-6881
(801) 562-9347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1412043501
UT
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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