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Brian Petersen, LCSW
NPI 1659544773 · on the registry since 2008
Practice
- Address
- 3724 S 2000 E
Salt Lake City, UT 84109 - Phone
- (801) 272-5138
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah