Individual
BENJAMIN WOLSEY NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
133 E. 200 S., MONTICELLO, UT 84535
(435) 459-2170
Mailing address
PO BOX 162, MONTICELLO, UT 84535-0162
(435) 459-2170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9307740-3501
UT
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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