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Individual
STORMEY NIELSEN
Active
Individual
STORMEY NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11275791-3501
UT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
UT
Enumeration date
05/16/2019
Last updated
03/06/2023
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