MRS. Tara Petersen, SSW

NPI #1467876631 in Taylorsville, Utah

Provider Information

NPI Number: 1467876631
Entity Type: Individual
Name: MRS. Tara Petersen, SSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: SSW
Enumeration Date: Feb 9, 2014
Last Updated: Feb 9, 2014

Practice Location

Address: 5667 S REDWOOD RD UNIT 6B
City: Taylorsville
State: Utah
ZIP Code: 84123-5495
Phone: (801) 712-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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