Individual
NICOLE MANON FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1111 BRICKYARD RD, SUITE #109, SALT LAKE CITY, UT 84106-2560
(801) 746-4334
Mailing address
1111 BRICKYARD RD, SUITE #109, SALT LAKE CITY, UT 84106-2560
(801) 746-4334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50039293501
UT
Other
Enumeration date
05/04/2010
Last updated
12/27/2021
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