Individual
MONICA E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 W 100 N, EPHRAIM, UT 84627-2131
(435) 283-4000
(435) 283-8401
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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