PENNY PETERSON, LCSW

Social Worker - Clinical

Active Individual
NPI: 1609856053

Practice Address

2525 LAKE PARK BLVD
Salt Lake City, UT 84120

Phone: (801) 982-3085

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 1328423501 (UT)

Frequently Asked Questions

NPI 1609856053 is the National Provider Identifier for PENNY PETERSON, LCSW, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on January 20, 2006.
PENNY PETERSON, LCSW practices at 2525 LAKE PARK BLVD, Salt Lake City, UT 84120.

Quick Facts

NPI
1609856053
Type
Individual
Enumerated
Jan 20, 2006
Last Updated
Jul 25, 2011

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