Kimberly Petersen

NPI #1003418179 in Salt Lake City, Utah

Provider Information

NPI Number: 1003418179
Entity Type: Individual
Name: Kimberly Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Nov 12, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 5800 S HIGHLAND DR
City: Salt Lake City
State: Utah
ZIP Code: 84121-1359
Phone: (801) 272-9980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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