MR. TYLER PETERSEN, CSW
Social Worker - Clinical
Active
Individual
NPI: 1770960452
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 5919098-3502 (UT) |
Frequently Asked Questions
NPI 1770960452 is the National Provider Identifier for MR. TYLER PETERSEN, CSW, a Social Worker - Clinical provider located in Herriman, UT. This NPI was enumerated on May 1, 2015.
MR. TYLER PETERSEN, CSW practices at 13351 S SHAUNNA LANE, Herriman, UT 84096.
Quick Facts
- NPI
- 1770960452
- Type
- Individual
- Enumerated
- May 1, 2015
- Last Updated
- May 1, 2015
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