Individual
JOHN E NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
766 E 100 N, PAYSON, UT 84651-2345
(801) 864-8010
Mailing address
679 S 500 E, PAYSON, UT 84651-2924
(801) 691-2509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140691-3501
UT
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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