DAX PETERSON, LCSW

Social Worker - Clinical

Active Individual
NPI: 1144585829

Practice Address

24 M ST
Salt Lake City, UT 84103

Phone: (801) 654-0862

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 7285972-3501 (UT)

Frequently Asked Questions

NPI 1144585829 is the National Provider Identifier for DAX PETERSON, LCSW, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on July 10, 2012.
DAX PETERSON, LCSW practices at 24 M ST, Salt Lake City, UT 84103.

Quick Facts

NPI
1144585829
Type
Individual
Enumerated
Jul 10, 2012
Last Updated
Jul 10, 2012

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