Individual
KRISTINE LOUISE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
VA SLC, 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
439 S 1100 E, SALT LAKE CITY, UT 84102-3108
(801) 583-3370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
138233-3501
UT
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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