Individual
KELSEY LIN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5698 W GLEN EAGLE DR, WEST VALLEY CITY, UT 84128-4013
(801) 917-5457
Mailing address
2186 E HAWTHORNE ST, SARATOGA SPRINGS, UT 84043-2408
(801) 899-7327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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