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Organization

FAMILY SUPPORT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE L PETERS LCSW (EXECUTIVE DIRECTOR)
(801) 955-9110
Entity
Organization

Contact information

Practice address
1760 W 4805 S, TAYLORSVILLE, UT 84129-1177
(801) 955-9110
(801) 955-9411
Mailing address
1760 W 4805 S, TAYLORSVILLE, UT 84129-1177
(801) 955-9110
(801) 955-9411

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/30/2015
Last updated
03/30/2015
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