Individual
NICOLE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 36TH ST, OGDEN, UT 84403-2050
(801) 392-0310
Mailing address
1140 36TH ST, OGDEN, UT 84403-2050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9266561-3506
UT
Other
Enumeration date
12/21/2015
Last updated
08/20/2021
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