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Individual

MR. PETER G OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, MA

Contact information

Practice address
1258 W SOUTH JORDAN PKWY, 202, SOUTH JORDAN, UT 84095-4711
(801) 230-5616
Mailing address
1258 W SOUTH JORDAN PKWY, 202, SOUTH JORDAN, UT 84095-4711
(801) 230-5616

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88583116004
UT

Other

Enumeration date
06/08/2010
Last updated
09/12/2016
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