Individual
KATELYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4391 S FALCON ST, WEST VALLEY CITY, UT 84120-5353
(801) 831-1403
Mailing address
4391 S FALCON ST, WEST VALLEY CITY, UT 84120-5353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8658247-3502
UT
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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