MR. Tyler Rolland Petersen, CSW

NPI #1770960452 in Herriman, Utah

Provider Information

NPI Number
1770960452
Entity Type
Individual
Name
MR. Tyler Rolland Petersen, CSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
CSW
Enumeration Date
May 1, 2015
Last Updated
May 1, 2015

Practice Location

Address
13351 S SHAUNNA LANE
State
Utah
ZIP Code
84096
Phone
(801) 915-6055

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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