Individual
IRIS IVETTE NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1256 S STATE ST STE 201, OREM, UT 84097-8239
(801) 376-4140
Mailing address
593 S 880 W, SPANISH FORK, UT 84660-5727
(801) 376-4140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12060286-3502
UT
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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