Individual
MR. DAVID H PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6112 S 1550 E, OGDEN, UT 84405-5007
(801) 589-5251
Mailing address
6112 S. 1550 E. SKYLINE DR., OGDEN, UT 84405-5007
(801) 589-5251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108132-3501
UT
Other
Enumeration date
08/05/2007
Last updated
11/02/2016
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