Individual
JONATHAN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3336 S PIONEER PKWY STE 201, WEST VALLEY CITY, UT 84120-2085
(801) 313-0555
Mailing address
3888 S 2475 W, WEST VALLEY CITY, UT 84119-4618
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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